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Dosimetrist

This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

  • 0 = Not Applicable
  • 1 = No Experience
  • 2 = Some Experience
  • 3 = Intermittent Experience
  • 4 = Experienced
  • 5 = Very Experienced
*Required
n/a
1
2
3
4
5

* Required

Age of Patients Cared For

Newborn/Neonate (birth to 30 days)*

Infant (1 month to 1 year)*

Toddler (1 year to 3 years)*

Preschooler (3 years to 5 years)*

School Age Child (5 years to 12 years)*

Adolescents (12 years to 18 years)*

Young Adults (18 years to 39 years)*

Middle Adults (39 years to 64 years)*

Older Adults (64 years to 79 years)*

Elderly Adults (over 79+ years)*

General Skills

Standard Precautions*

Isolation Precautions*

Pediatric Respiratory/ Cardiac Arrest*

Adult Respiratory/ Cardiac Arrest*

Crash Carts*

Defibrillators*

Radiation Therapy Physics

Physical Property of Atoms and Nuclei*

Basic Nuclear Transformations*

Medical Linear Accelerations*

Interaction of High Energy Electrons & X-Rays with Matter:

Photoelectric Effect*

Campton Scatter*

Pair Production*

Physical Properties of Dose and Exposure*

Dosimetry Equipment:

Ion Chambers*

Thermoluminescent Dosimetry*

TG-51 (Calibration Protocol)*

Radioactive Isotopes*

Electron Beam Therapy*

IMRT (Intensity Modulated Radiation Therapy)*

Beam Modifiers:

Physical Wedges*

Dynamic Wedges*

Blocks*

3-D Conformal Radiation Therapy*

Basic Principles and Applications:

CT Scan*

MRI Machine*

PET Scan*

BRACHYTHERAPY PROCEDURES

Systemic Errors*

Random Errors*

Treatment Documentation, Procedure Checklists, & Forms*

Application Preparation*

Application Insertion*

Implant Localization and Stimulation*

Treatment Prescription*

Implant Design and Evaluations:

Localization*

Computer Treatment Planning*

Manual Verification of Computer*

Patient Preparation, Setup, and Treatment*

Post Treatment Quality Assurance*

Emergency Procedures for HDR

Routine Emergency Equipment*

Physical Plant Emergencies*

Minor and Major Emergencies*

Intravascular Brachytherapy*

Prostate Seed Implants:

I-125 Seeds*

P-103 Seeds*

Ommaya Reservoir*

TREATMENT PLANNING

Auxiliary Devices (Digitizer, Plotter)*

Software*

Quality Assurance*

SPECIAL TECHNIQUES

TBI (Total body Irradiation)*

Electron Arc Therapy*

Interoperative Electron Therapy*

TSI (Total Skin Irradiation)*

SRS (Stereotactic Radiosurgery)*

Beam Data Acquisition for Small Fields*

Treatment Planning Computer Data Input*

SRT (Stereotactic Radiotherapy)*

STANDARDS FOR TREATMENT PLANS/PROTOCOLS

Ensures Accurate Dose*

Ensures Proper Patient Positioning*

Ensures Proper Machine Settings*

Deviation of Normal Parameters for Equipment*

TREATMENT AIDS

Field Shaping:

Custom Blocking*

Multileaf Collimators*

Half-Value Thick Blocks*

Gonadal Shields*

Eye Shields*

Internal Shields*

In Vivo Dosimetry*

TLD (Thermoluminescent Dosimeters) Chips*

Patient Positioning:

Immobilization Devices*

Anatomic Landmarks*

Certifications

Medical Dosimetrist Certification Board*

Other Skills

Application Agreement

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.

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