Efficiency in the Workplace, Natasha Calle, RT
- 1. EFFICIENCY IN THE WORKPLACE NATASHA CALLE FLORIDA CANCER SPECIALISTS OCALA, FL
- 2. GO LIVE MAY 2, 2023 6 DOF SEPT 1, 2023 TATTOOLESS 1 YEAR o AVG 35 PTS o 1 WEEK AVG 40 PTS o 1 YEAR AVG 46 PTS o TIME SLOTS 15 TO 12 min
- 3. WORKFLOW PRIOR TO ALIGNRT 3 TATTOOS IN SIM DAY 1 LEVEL TO TATTOOS SHIFTS FROM DOSI IMAGE, DR, TREAT TEGADERM NEW AP ISO
- 4. WORKFLOW POST ALIGNRT 3 BB'S IN SIM DAY 1 LINE UP TO ALIGNRT ROI SEND TO COUCH IMAGE, DR, TREAT MARK AP – per company policy
- 5. TIME STUDIES – BRAIN/HEAD & NECK H&N 13 min --> 9.5 min Scalp 16.25 --> 15 Nose 13 --> 10.5 H&N 14.5 --> 10.25 H&N 12.25 --> 10.66 H&N 14 --> 13.5 Brain 14.25 --> 12.75
- 6. TIME STUDIES – BREAST DIBH CW/Nodes 15.6 --> 14.6 CW/Nodes 15.25 --> 12.25 CW/Nodes 12.25 --> 10.75 Breast 9.75 --> 10.75; Increase in time. Why?
- 7. TIME STUDIES - LUNG Lung – 12.25 --> 12 Lung – 12.5 --> 11 Lung – 8.5 --> 7.75 Lung 10.75 --> 11.5 Bilat lung – 16.75 --> 14.25 SBRT Lung – 20 --> 17 SVC – 14 --> 15
- 8. TIME STUDIES – PROSTATE, PELVIS Prostate 9.5 --> 9.25 Prostate 11.75 --> 10.5 Hip 11 --> 9
- 9. CURRENT PT LOAD AVG PT LOAD – 50 7AM – 5PM 4 FT THERAPISTS 1 DR, 1 DOSI, 1 PHYSICS 2 NURSES 1 PSS 1 STUDENT 6 MIN o ELECTRON 12 MIN o TANGENT BREAST, LUNG, PROSTATE, BRAIN, H&N 18 MIN o SRS, SBRT, APBI, IMRT DIBH BREAST 24 MIN o MULTI ISO SRS/SBRT, BILAT IMRT BREAST
- 11. TIPS & TRICKS Complete ROI ahead of time Have a cheat sheet for manual movements 6DOF couch – adjust only if more than 2 Utilize Send to Couch Spotlight CBCT SSD'S Consistency Training – staff & students
- 12. QUESTIONS Does anything change with your workflow when you have an electron patient or a patient with bolus? While setting up a patient, you notice the ROI is not connecting and giving accurate shifts, can you change the ROI mid setup? If so, how? Does using the send to couch function help reduce setup time in the room? Does anything need to be done at the console to use send to couch? When do you move the patient in their immobilization device versus shifting the table and utilizing send to couch? Is the SSD function helpful? Do you find it to be accurate? If it fails to record SSD, what do you do?