QA checklist Please review the table below. For the QA that your clinic performs, you need to at least observe the procedure. If you are able to assist or perform any of the following procedures, that’s even better! At the completion of the 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 of the OA course, so they are able to help get you involved in as much QA as possible. Type of QA served [Assisted Daily Warm-up QA for Li Warm-up QA for CT Simulator x X Monthly a x x Monthly CT Simulator IMRT SRS x Brachytherapy | Ms Respiratory Gating* ne Rt amen y Treatment Planning System | xX “ceptor signature Date “If Respiratory gating is not performed in your clinic, research this topic and provide a short summary of the QA to be performed along with the current tolerances.