Qa Checklist

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QA checklist
below. For the QA that your clinic performs, you need to at I east observe
the procedure. Ifyou are able to assist or perform any ofthe following procedures, that's even
betterl At the completion of the Fall QA course, submit the table below leaving an "x" in the

Please review the table

boxes that apply to the procedures that you have observed or participated in and have your
preceptor sign the form. Submit this table to the dropbox by the last day ofthe course in Fall
Semester. Make sure you mention this assignment to your preceptor or physicist prior to the
beginning of the QA course, so they are able to help get you involved in as much QA as possible.

Type

ofQA

Daily Warm-up QA for Linac


Daily Warm-up QA for CT Simulator
Monthly Linac

Monthlv CT Simulator

IMRT
SRS

ftd'ff"f iu'er
Respiratory Gating*

*If

Observd

x
K

Assisted

X
^

x
x

IGRT svstem

Treatment Planning System

Respiratory gating is not performed in your clinic, research this topic and provide a short
summary of the QA to be performed along with the current tolerances.

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