RADIATION THERAPY SPECIALIST

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The Department of Radiation Oncology Main Campus is comprised of two hospital departments and one physician group: Brigham and Women's Hospital (BWH), Dana-Farber Cancer Institute (DFCI), and the Brigham and Women's Physicians Organization (BWPO).

Under the direction of the Chief and Lead Radiation Therapists, the Staff Radiation Therapist will demonstrate essential skills of treatment modalities and protocols to accurately set-up and administer daily radiotherapy treatments. The Staff Radiation Therapist communicates effectively with patients, families, medical staff, and healthcare team.

Patient Care

1. Will be expected to perform radiotherapy on site at assigned department

a. Brigham And Women's Hospital

b. Dana Farber Cancer Institute

2. Responsible for daily patient care and education.

* Appropriately involves the patient and their family in care and care decisions.
* Maintains and demonstrates respect for patient confidentiality and modesty.
* Explains the treatment procedures.
* Arranges daily radiation treatment schedule.
* Attentive to patient needs and concerns by continuous monitoring of the patient's physical and physiological response and reactions to treatment and refer patient for appropriate management as needed.

2. Administers radiation therapy treatment accurately and safely, following departmental policy and procedure.

* Monitors and reports treatment variances and inconsistencies.
* Accurately documents all treatment delivery information in the electronic medical record (EMR).

3. Positions and immobilizes patients according to the treatment plan and effectively evaluates images according to standard guidelines and assists in solving set-up issues.

4. Demonstrates the ability to care for acute Inpatients.

5. Demonstrates the ability to care for pediatric patients, including pediatric patients requiring anesthesia.

6. Demonstrates appropriate knowledge of the principles of growth and development from all life stages, ranging from infancy to geriatric. In addition, s/he must possess the ability to assess patient relative data as deemed pertinent to age-specific needs and provide care as described in the department's policy and procedure manual.

7. Demonstrates an understanding of the patient functional mobility assessment tool and mobilizes patients using appropriate mechanical assistive devices, such as ceiling lifts and lateral transfer devices, during the provision of patient care.

8. Other duties as assigned.

Knowledge and Skills

1. Rotates to other treatment areas as directed by the Chief and Lead Radiation Therapists. May be required to demonstrate basic knowledge and skills in one or more specialty areas and programs, including but not limited to:

a. Procedures

o Align RT, including tattooless workflows

o Stereotactic CNS

§ Stereotactic Radiotherapy (SRT)

§ Stereotactic Radiosurgery (SRS)

§ Complex stereo CNS cases - including Multi Met

o Stereotactic Body Radiation Therapy (SBRT)

o Cardiac SBRT

o Total Marrow Lymph Irradiation (TMLI)

o Adaptive Radiotherapy, including contouring

o Craniospinal Radiotherapy

o Extremity/Sarcoma Radiotherapy

b. Specialty Rotations, will include these additional responsibilities

o Simulation

§ Demonstrates knowledge and ability to operate CT scanner and CT scanner software.

§ Demonstrates knowledge and ability to complete tasks in the Treatment planning software (Eclipse)

§ Demonstrates knowledge and ability to operate LAP Lasers

§ Explains simulation procedure, including the administration of permanent tattoos for set up purposes.

§ Assists and interacts with all departmental Radiation Therapists , demonstrating the ability to answer all questions and details pertaining to simulation to ensure quality treatment.

§ Demonstrates the ability to create immobilization devices, bolus, and accurately document set up instructions.

§ Demonstrates knowledge and ability to perform all aspects of both treatment and simulation. Assists treatment machines with difficult set ups.

§ Participates in the IV contrast program, including; Patient Screening, Peripheral IV placement, Injection of IV contrast agents via power injector.

§ Demonstrates knowledge and proficiency in use of IV contrast Power injectors

§ Administers Oral Contrast

§ Able to navigate and enter orders in the Hospital EMR (EPIC)

§ May be asked to participate in MR Simulation procedures.

§ Assists in scheduling/rescheduling appointments, as needed.

§ Assists other areas of the department during low volume periods.

§ Demonstrates knowledge and proficiency in the use of Point of Care (POC) Testing via the i-STAT analyzer for Creatinine results.

* Radiation Therapists performing waived point of care (POC) testing. Requires at a minimum a high school diploma or equivalent as described in the Federal Register, 42 CFR, Subpart M 493.1403-1495. (addendum added 2/2019)
* Radiation Therapists are responsible for obtaining blood specimens, performing creatinine tests using the i-STAT analyzer, evaluating creatinine results as they are displayed by analyzer, downloading test results into the patients' medical record and verifying eGFR results prior to proceeding with contrast administration

o Total Body Irradiation (TBI)

§ Responsible for scheduling all BMT new start and daily treatment appointments according to BMT protocol.

§ Demonstrates knowledge of all back up procedures, including Linac based treatment delivery and Imaging.

§ Works directly with CO60, a radioactive source and has knowledge of all safety and emergency protocols.

§ Provides hospital holiday coverage if TBI cases are scheduled.

§ Assists other areas of the department during low volume periods.

o Brachytherapy

§ Demonstrates knowledge and ability to perform all brachytherapy procedures, including: GYN Brachytherapy, Surface Applicator Brachytherapy, HDR/LDR TRUS, all Brachytherapy simulations.

§ Provides coverage as needed for Brachy Procedures out of department: OR/AMIGO/MR Sim Coverage

§ Assists in prepping for anesthesia cases and room turnover, equipment changes and room cleaning.

§ Demonstrates knowledge of all brachytherapy tools and equipment.

§ Demonstrates knowledge in the operation of the HDR Microselectron.

§ Demonstrates the ability to perform, participate, and assist in Ultrasound guidance for procedures.

§ May be asked to assist with the direct preparation of radioactive sources.

§ Understands and practices protocols for sterile procedures.

§ Assists other areas of the department during low volume periods.

o MR Linac

§ Helps screen patients and equipment for MRI safety

§ Is Level II MRI certified

§ Assists in CT/ MR-LINAC simulations

§ Assists in Adaptive treatment planning including: Treatment Delivery, Air overrides, contouring.

2. Understands the function of all equipment, accessories, treatment policies, procedures, and protocols and applies knowledge appropriately.

3. Participates in some clinical instruction and evaluation of the Radiation Therapy students.

4. Other duties as assigned.

High School Diploma or equivalent with certificate in Radiation Therapy or Associate's Degree in Radiation Therapy

* Valid Massachusetts State License in Radiation Therapy
* Continued employment is contingent upon obtaining valid ARRT certification within 6 months of hire date
* Valid BLS certification

Preferred: Bachelor of Science in Radiation Therapy

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