Produces treatment planning dosimetry calculations for external beam and implant cases. Receives and documents radioactive materials, prepares radioactive materials for implantation. Obtains patient contour and clinical data as needed. Assists in periodic calibrations of therapy machines and quality assurance/control activities.
Essential Duties and Responsibilities
Behaves in accordance with the Mission, Vision and Values of Trinity Health System.
Maintains the confidentiality of information acquired pertaining to patient, physicians employees, and visitors to St. Joseph Mercy Hospital. Discusses patient and hospital information only among appropriate personnel in appropriately private places.
Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution.
Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
Consults with the Radiation Oncologist and Physicist to determine objectives of patients' treatment as prescribed.
Calculates treatment time according to the physician's prescription using isodose charts/computer.
Assists in patient simulation/localization procedures. Double-checks patient contours/target volume within contour.
Positions patient for CT and MRI. Accurate acquistion of images/data pertaining to 3-D treatment planning.
Instructs all staff about dosimetry by explaining and demonstrating techniques, methods, and equipment operation.
Reviews individual treatment plans to ensure plans meet patient needs.
Designs/fabricates/digitizes and oversees use of MLC shaping, shielding blocks, compensating filters and other treatment devices. Oversees the use of immobilization devices.
Generates MLC overlays. Imports and scans images; integrates with portal imaging.
Documents set-up instructions, diagrams, treatment settings, etc. on the treatment sheet and in the computer systems to ensure compliance with the approved treatment plan.
Accurately documents treatment parameters, doses, monitor units and dose action points in the patient treatment record and IMPAC electronic chart. Modifies the electronic chart related to treatment adjustments.
Performs treatment planning to determine dosage of interstitial/intracavitary radioactive implants - computer assisted.
Orders, receives and appropriately logs shipment of Sr89. Follows policy and procedures related to proper shielding, preparation, injections, and storage of radiopharmaceuticals.
Assists physicist with high dose rate (HDR) brachytherapy procedures as requested.
Assists Radiation Oncology Physicist in periodic calibration procedures and dosimetry measurements using diodes, ionization chambers, water phantoms, and film densitometry (to ensure accuracy of equipment and treatment plans).
Maintains knowledge of current trends and developments in the field by reading appropriate journals, books, and other literature and attending related seminars, conferences, etc.
Submits charges into the computer systems for services rendered to patients in accordance with established guidelines.
Participates in the clinical education and training of students and staff.
EDUCATION, EXPERIENCE, AND LICENSURE
Requires Bachelor's degree in Physics or related field with specific course work in radiation therapy and dosimetry, or equivalent. Combination of education and experience.
One to two years related experience. ARRT certified in Radiation Therapy Technology or Certification as a Medical Dosimetrist preferred.
REQUIRED SKILLS AND ABILITIES
Interpersonal skills necessary to effectively communicate with patients, physicians, therapists and other staff when explaining procedures and gathering and exchanging patient related information.
Analytical skills necessary to perform dose calculations and produce and evaluate treatment plans for adequacy, accuracy and completeness.
Ability to concentrate and pay close attention to detail for approximately 90% of work time when preparing contours, calculating dose, and calibrating equipment.
Ability to walk and stand for approximately 30% of work time when walking to patient floors and preparing contours, and to lift and carry weights of up to twenty pounds for approximately 30% of work time when gathering materials to prepare contours and fabricating shielding or treatment devises.