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(Caesse Quins QA checklist Please review the table below. For the QA that your lini performs, you need to atleast observe the procedure. Ifyou are she to assist or perform any ofthe following procedures, that’s even Detter! At the completion ofthe Fall QA course, submit the table below leaving an “x” in the 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 of the course in Fall Semester. Make sure you mention this assignment to your preceptor or physicist prior to the Beginning ofthe OA course so they are able to help get you involved in as much OA as possible. ‘Type of OX “Oibsersed [Asst Warm-up QA for Linae a Daily Warm-up QA for CT Simulator ‘Monthly Linae Monthly CT Simulator IMRT KK YE JK IK KPI SRS Brachytherapy Respiratory Gating IGRT system FAK ‘Treatment Planning Syst Le 2/(22 Precept synafare Date "IF Respiratory gating is not performed in your elni, research ths topic and provide a short summary ofthe QA to be performed along with the eurrent tolerances.

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