QA HEAD AND NECK

Question 1

What are the steps for setting up head and neck patient?

Answer 1

1. Identification and consent (ask if patient has recently been to dentist)
2. Inform them of procedure and mask
3. Take out dentures (if applicable)
4. Take earrings/necklace and shirt (make sure collar is tucked in as a bare minimum)
5. Patient positioning and immobilisation
6. Make mouthpiece (if applicable)
7. Make shell
8. Put marks on shell- anterior and lateral

Question 2

What is the potential for error if the patient is not consented and identified?

Answer 2

POTENTIAL FOR ERROR: Could get the wrong person

IMPACT OF ERROR: Irradiate wrong person

Question 3

What is the potential for error if the patient has not enclosed that they have recently been to the dentist?

Answer 3

POTENTIAL FOR ERROR:
Treatment may have to be delayed to allow for dental appointment

Higher risk of infection, necrosis, gum and bone disease

Dental surgery during RT will affect volumes and swelling

IMPACT OF ERROR:
Potential risk of disease