Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology

MOSAIQ Dosimetrist/Physicist Training Guide Module III
Notes
Option 3: Add a Prescription for the Remaining
Dose Only (cGy), Do Not Manually Record
Treatments or Retrofit, then Only Treat
Remaining Fractions from the System
Patient Setup
Consider the patient information below as a typical example for Option 3:
• The physician prescribes 4500cGy at 180 per day.
• Before you changed to MOSAIQ, the patient received 4140 cGy at 180 per day
(23 fractions).
• The radiation oncologist adds a prescription only for the remaining dose (360cGy
with a fractional dose of 180), and must add a note in the prescription to record
the abbreviated prescription.
• The clinician uses the Treatment Chart/Calendar to schedule and treat the
remaining dose.
Use the following steps to set up the patient per Option 3.
1. Add a diagnosis and course of therapy for the patient, the same as for new
patients. Refer to Lesson 2 in Module I of this guide for details.
2. Add a prescription only for the remaining dose, and add a prescription note to
record the abbreviated prescription. Refer to Lesson 2 in Module I of this guide
for details.
3. Add treatment fields for the patient, the same as for new patients. Refer to
Lesson 3 in Module I of this guide for details. You can also import/export MLC
files and RTP files (such as IMRT files). Refer to Appendix A in Module II
(import/export MLC files) and Lesson 5 in Module II (import/export RTP files)
of this guide for details.
4. Set up dose tracking for the patient, the same as for new patients. Refer to Lesson
6 in Module II of this guide for details.
5. Use the Treatment Chart/Calendar to schedule and treat remaining fractions.
Refer to Lesson 9 in Module III (schedule treatments) and Lesson 7 in Module II
(manually record treatments) of this guide for details.
Benefit of Option 3
It involves much less work because you do not have to retrofit the patient
information.
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LTGRAD0005C/1.0/31-Mar-2009