For new patients it is necessary for the clinician to see set-up on the treatment unit for the first fraction for a ‘mark on set’. Where customised lead cut-outs are used it is not essential for a clinician to be present, however, it is the responsibility of the senior radiographer to ensure that the mould room cut-out matches the marked on field as per the clinical mould room photograph. If there are any concerns the clinician should be consulted. Decisions regarding stand off correction (inverse square law) should be made as required.
Patients are usually seen in clinic weekly during the course of their treatment during longer fractionation schedules and at least once during shorter fractionations. Skin care advice is given as for all superficial radiotherapy. Post treatment follow up should be arranged for 4 to 6 weeks and thereafter at the clinicians’ discretion.