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33.0 Radiation Oncology Unit

33.1 Introduction

33.1.1 Description
The purpose of the Radiation Oncology Unit is to provide facilities and equipment for
treatment of patients using radioactive rays. The Radiation Oncology Unit may contain one or
both electron beam therapy and radiation therapy. Although not recommended, a Simulation
Room may be omitted in small linear accelerator facilities where other positioning geometry is
provided.

Room sizes and specifications for a Radiation Oncology Unit should accommodate the
equipment manufacturer's recommendations, as space requirements may vary from one
machine to another and one manufacturer to another. Radiation Oncology may also be
referred to as Radiotherapy or Radiation Therapy.

33.2 Planning

33.2.1 Functional Areas
The Radiation Oncology Unit may include the following Functional Areas:
Reception, Waiting, administrative and records areas
Patient treatment areas including Radiotherapy Bunkers, Treatment Planning, Simulation,
Holding area, Patient Toilet
Film processing and storage areas
Support areas including Consult, Utilities, Cleaner's Room, Store, Disposal rooms
Staff areas including Staff Station, Offices, Staff Change and Toilets.

SUPPORT AREAS
The following optional support areas may be required:
Quality control area with illuminated X-ray viewing boxes
Computer control area normally located adjacent to the Radiotherapy Room entry
Dosimetry equipment area
Hypothermia Room (may be combined with an Examination Room)
Oncologists Office (may be combined with Consultation Room)
Physicists Office (may be combined with Treatment Planning)
Treatment Planning and Record Room
Provision shall be made for the following additional support areas for Linear Accelerator:
Mould Room with exhaust hood and hand basin
Block Room with storage (may be combined with the Mould Room)

33.2.2 Functional Relationships
The Radiation Oncology Unit should be located with ready access for ambulant patients and
beds/trolleys. The Unit may be co-located with Medical Imaging Units. If intra-operative
therapy is proposed, the Radiation Oncology Unit should be located close to the Operating
Unit or with a direct link. A ground level location is preferred due to the weight of the
equipment and shielding requirements, and for ease of installation and replacement. There
will also be a restriction on the type of departments located above the Radiation Oncology
bunkers.

33.3 Design






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33.3.1 Building Service Requirements
CONSTRUCTION STANDARDS
The flooring for a Radiation Oncology Unit shall be adequate to meet the load requirements
for equipment, patient, and personnel. Provision for cable ducts or conduits should be made in
the floors and ceilings as required. Ceiling mounted equipment should have properly designed
rigid support structures located above the finished ceiling. The minimum recommended ceiling
height is 3 metres. A lay-in type of ceiling should be considered for ease of installation,
service, and remodelling.

Depending on the machine type, a large opening within the wall and close coordination on the
entry door size will be required for installation of the bunker equipment and future servicing.

RADIATION PROTECTION
Cobalt and linear accelerator rooms require radiation protection that may include concrete
walls, floors and ceiling to a specified thickness. The radiation protection needs of the unit
shall be assessed by a certified physicist or appropriate state agency. This assessment is to
specify the type, location, and amount of protection to be installed in accordance with final
approved department layout and equipment selection. The radiation protection requirements
shall be incorporated into the final plans and specifications.

Design of the bunker rooms may incorporate a maze entry to assist with radiation protection; a
neutron door may also be required depending on the type of linear accelerator used.

33.4 Components of the Unit

33.4.1 Introduction
The Radiation Oncology Unit will contain Standard Components according to the Level of
Service. Provide Standard Components to comply with details in the Standard Components
described in these Guidelines. Refer also to Standard Components Room Data Sheets and
Room Layout Sheets.









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33.5 Schedule of Accommodation

33.5.1 Radiation Oncology Unit Generic Schedule of Accommodation
Schedule of Accommodation for a Radiation Oncology Unit for 2 & 4 Bunkers

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
AIRLOCK ENTRY, 10M2 AIRLE-10-U 1 x 10 1 x 10 For stand alone units or direct
entry
BAY BEVERAGE, OPEN PLAN BBEV-OP-U 1 x 4 1 x 4

WAITING WAIT-15-U 2 x 15 2 x 25 Separate Male/female areas
WAIT-25-U
BAY - WHEELCHAIR BWC-U 1 x 4 1 x 6 1 trolley; 2-5 wheelchairs
similar
TOILET PUBLIC, 4M2 WCPU-4-U 2 x 4 2 x 4 Separate for Male/female

TOILET ACCESSIBLE WCAC-U 1 x 6 1 x 6

BAY PUBLIC TELEPHONE BPH-U 1 x 4 1 x 4
optional optional
BAY VENDING MACHINES BVM-5-U 1 x 5 1 x 5
optional optional
RECEPTION/ CLERICAL, 10M2 RECL-10-U 1 x 10 1 x 10 2 staff

OFFICE 3 PERSON SHARED OFF-3P-U 1 x 15 1 x 15 3 staff

STORE FILES STFS-10-U 1 x 10 1 x 15

STORE PHOTOCOPY/STATIONERY, STPS-8-U 1 x 8 1 x 8
8M2
MEETING ROOM SMALL, 12M2 MEET-12-U 1 x 12 1 x 12 Resource & education
function
INTERVIEW ROOM FAMILY/ LARGE INTF-U 1 x 12 1 x 12

VOLUNTEERS WORKROOM VWR-20-U 1 x 20 1 x 20
optional optional

PLANNING ZONE

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
WAITING , 10M2 WAIT-10-U 2 x 10 2 x 10 1 wheelchair space; separate
areas for Male/female
PATIENT BAY HOLDING, 10M2 PBTR-H-10-U 2 x 10 4 x 10 Separate for Male/female

TOILET - ACCESSIBLE WCAC-U 2 x 6 2 x 6 Separate for Male/female
patients
CHANGE CUBICLE - ACCESSIBLE CHPT-D-U 2 x 4 2 x 4 Separate for Male/female;
includes lockers
RADIOTHERAPY SIMULATOR ROOM RAD-SIM-U 1 x 40 1 x 40 May be sized to suit
equipment
CONTROL ROOM RAD- BCTR-U 1 x 17 2 x 17
(SIMULATOR ROOM)
DARK ROOM DARK-U 1 x 6 1 x 6
optional optional
XRAY VIEWING AND REPORTING XRRR-U 1 x 12 1 x 12 PACS may be used
(VIRTUAL SIMULATION)
BAY RESUSCITATION TROLLEY BRES-U 1 x 1.5 1 x 1.5








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PLANNING STAFF AREAS

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
OFFICE SINGLE PERSON, 12M2 OFF-S12-U 1 x 12 1 x 12 Qty per staffing establishment
(MANAGER, RADIATION THERAPY)
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 2 x 9 Qty per staffing establishment
EDUCATOR, RADIATION THERAPY)
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 Qty per staffing establishment
(HEAD OF PLANNING, R.T.)
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 Qty per staffing establishment
(HEAD OF TREATMENT, R.T.)
OFFICE WRITE-UP (SHARED), 12M2 OFF-WIS-U 1 x 12 1 x 12 Qty per staffing establishment
(SIGN ON/WORK AREA, R.T.)
OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5 Qty per staffing establishment
(BOOKING CLERK)
STORE - EQUIPMENT STEQ-10-U 1 x 10 1 x 12
STEQ-12-U
TOILET STAFF WCST-U 2 x 3 2 x 3 Separate Male/female areas

RADIOTHERAPY TREATMENT RAD-TRP-U 1 x 40 1 x 60 Area & no. of workstations as
PLANNING similar per staffing establishment

APPLIANCE AREA

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
MOULD ROOM FITTING MLD-FT-U 1 x 10 1 x 10

MOULD ROOM WORKSHOP MLD-WS-U 1 x 20 1 x 20 May be noisy

CLEAN-UP ROOM, 10M2 CLUP-10-U 1 x 10 1 x 10

STORE GENERAL, 9M2 STGN-9-U 1 x 9 1 x 9


MEDICAL PHYSICS

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
OFFICE SINGLE PERSON, 12M2 OFF-S12-U 1 x 12 1 x 12
(CHIEF PHYSICIST)
OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 1 x 5.5 Qty per staffing establishment
(PHYSICIST)
PHYSICS LABORATORY PHLAB-U 1 x 24 1 x 40

STORE EQUIPMENT STEQ-10-U 1 x 10 1 x 20
(PHYSICS) STEQ-20-U
WORKSHOP - BIOMEDICAL WS-BM-U 1 x 40 1 x 50
similar
OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 1 x 5.5 Qty per staffing establishment
(BIOMEDICAL)

RADIATION TREATMENT

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
WAITING, 10M2 WAIT-10-U 2 x 10 2 x 10 Separate Male/female areas

CHANGE CUBICLES PATIENT CHPT-U 2 x 2 4 x 2 Separate Male/female areas

CHANGE CUBICLE ACCESSIBLE CHPT-D-U 2 x 4 2 x 4 Separate Male/female areas






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ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
TOILET - PATIENT WCPT-U 2 x 4 4 x 4 Separate Male/female areas

MEETING ROOM, SMALL, 9M2 MEET-9-U 1 x 9 2 x 9 For interviews; can be used for
private waiting
WAITING SUB WAIT-SUB-U 2 x 2 4 x 2 Separate Male/female areas
(BUNKER) similar
RADIOTHERAPY BUNKER ROOM RAD-BUNK-U 2 x 150 4 x 150 See note 1 below
(LINEAR ACCELERATOR)
RADIOTHERAPY BUNKER CONTROL RAD- BCTR-U 2 x 17 4 x 17
ROOM
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 Deputy chief in large centres
(RADIOTHERAPY)
OFFICE WORKSTATION OFF-WS-U 2 x 5.5 4 x 5.5
(SENIOR RADIOTHERAPISTS)
BAY WHEELCHAIR PARK, 4M2 BWC-U 1 x 4 2 x 4

BAY - LINEN TROLLEY BLIN-U 1 x 2 1 x 2

STORE EQUIPMENT STEQ-10-U 1 x 10 1 x 14
STEQ-14-U



NOTE 1: 150m2 spatial allocation for one Linear Accelerator bunker includes maze and radiation shielding wall, bunker size
depends on equipment selected and radiation shielding recommendation from radiation safety consultant.



BRACHYTHERAPY SUITE

ROOM/ SPACE Standard 4 Bunkers Remarks
Component Qty x m2
BRACHYTHERAPY BUNKER RAD-BUNK-U 1 x 150 Assumes permanent seed
implantation
RADIOTHERAPY BUNKER RAD- BCTR-U 1 x 17
CONTROL ROOM
SCRUB-UP/ GOWNING, 6M2 SCRB-6-U 1 x 6

ANAESTHETIC INDUCTION ROOM ANIN-U 1 x 15
optional
PATIENT BAY HOLDING, 10M2 PBTR-H-10-U 2 x 10 Separate Male/female areas;
for patient recovery
HOT LABORATORY HTLB-U 1 x 9
SEED STORE & LOADING similar

PATIENT OBSERVATION & NURSING CARE

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
STAFF STATION SSTN-12-U 1 x 12 1 x 18
SSTN-18-U
MEETING ROOM SMALL, 12M2 MEET-12-U 1 x 12 1 x 12

PATIENT BAY HOLDING, 10M2 PBTR-H-10-U 2 x 10 4 x 10 Separate for Male/ female

BAY HANDWASHING, TYPE B BHWS-B-U 1 x 1 1 x 1

BAY PPE (PERSONAL PROTECTIVE BPPE-U 1 x 1.5 1 x 1.5
EQUIPMENT)
SHOWER - PATIENT SHPT-U 2 x 4 4 x 4 Separate Male/female areas







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ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
BAY LINEN BLIN-U 1 x 2 1 x 2

BAY - RESUSCITATION TROLLEY BRES-U 1 x 1.5 1 x 1.5

OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9
(NURSE MANAGER)
CLEAN UTILITY CLUR-12-U 1 x 12 1 x 14
CLUR-14-U
DIRTY UTILITY DTUR-12-U 1 x 12 1 x 14
DTUR-14-U
DISPOSAL ROOM, 8M2 DISP-8-U 1 x 8 1 x 8 May be combined with Dirty
Utility
CLEANERS ROOM, 5M2 CLRM-5-U 1 x 5 1 x 5

CONSULT ROOMS CONS-U 4 x 14 8 x 14 Qty according to service plan

PROCEDURE ROOM, 20M2 PROC-20-U 1 x 20 1 x 20

CLEAN-UP ROOM CLUP-10-U 1 x 10 1 x 15 Include endoscope cleaning
CLUP-15-U
OFFICE WRITE-UP (SHARED), 12M2 OFF-WIS-U 1 x 12 2 x 12 Clinical reviews

SPECIMEN COLLECTION BAY, 9M2 SPECC-U 1 x 9 1 x 9

TOILET PATIENT WCPT-U 2 x 4 2 x 4 For specimen collection;
separate male/female areas
WAITING WAIT-10-U 2 x 10 2 x 25 Separate Male/female clinic
WAIT-25-U Waiting

GENERAL STAFF AREAS

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
OFFICE - WORKSTATION OFF-WS-U 3 x 5.5 6 x 5.5
(DATA MANAGERS)
STORE FILES STFS-10-U 1 x 10 1 x 20
STFS-20-U
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9
(CLINICAL TRIALS MONITOR)
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9
(BIOSTATISTICIAN)
OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 1 x 5.5
(NURSE COORDINATOR)
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9
(TEACHING FELLOW) optional optional
OFFICE - SHARED OFF-2P-U 1 x 12 1 x 15
OFF-3P-U optional optional
OFFICE SINGLE PERSON, 12M2 OFF-S12-U 1 x 12 1 x 12
(CLINICAL DIRECTOR)
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9
(DEPUTY DIRECTOR)
OFFICE RADIATION ONCOLOGIST OFF-S9-U 1 x 9 1 x 12
OFF-S12-U
OFFICE - WORKSTATION OFF-WS-U 2 x 5.5 4 x 5.5 For administration staff

OFFICE 2 PERSON SHARED OFF-2P-U 1 x 12 1 x 12

OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5
(MEDICAL TYPISTS)





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ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks
Component Qty x m2 Qty x m2
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9
(DATA MANAGERS) optional optional
OFFICE SINGLE PERSON OFF-S9-U 1 x 9 1 x 9
(I.T MANAGER) optional optional
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9
(MANAGER QUALITY ASSURANCE)
OFFICE SHARED OFF-2P-U 1 x 12 1 x 12
(ALLIED HEALTH)
MEETING ROOM MEDIUM/LARGE, MEET-L-20-U 1 x 20 2 x 20
20M2
STAFF ROOM SRM-15-U 2 x 15 2 x 20 Separate Male/female areas
SRM-20-U
PROPERTY BAY - STAFF PROP-3-U 2 x 3 2 x 6 Separate Male/female areas
PROP-6-U
TOILET STAFF WCST-U 2 x 3 4 x 3 Separate Male/female areas

SHOWER STAFF SHST-U 2 x 3 2 x 3 Separate Male/female areas

CLEANERS ROOM, 5M2 CLRM-5-U 1 x 5 1 x 5

OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5
(CANCER CARE COORDINATOR)
OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9

OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5
(SPECIALIST CANCER NURSES)
OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5
(PALLIATIVE CARE)
CIRCULATION ALLOWANCE 35% 35%


Please note the following:

Areas noted in Schedules of Accommodation take precedence over all other areas noted in the FPU.
Rooms indicated in the schedule reflect the typical arrangement according to the Role Delineation.
Exact requirements for room quantities and sizes will reflect Key Planning Units identified in the Service Plan and
the Operational Policies of the Unit.
Room sizes indicated should be viewed as a minimum requirement; variations are acceptable to reflect the
needs of individual Unit.
Office areas are to be provided according to the Unit role delineation and staffing establishment.
Staff and support rooms may be shared between Functional Planning Units dependant on location and
accessibility to each unit and may provide scope to reduce duplication of facilities.






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33.6 Functional Relationship Diagram
33.6.1
33.6.2 Radiation Oncology Unit Functional Relationship Diagram




33.7 Further Reading

Australasian Health Facility Guidelines, Australasian Health Infrastructure Alliance, refer to
website www.healthfacilityguidelines.co.au
Guidelines for Design and Construction of Health Care Facilities; The Facility Guidelines
Institute