You are caring for a patient who has sustained a significant…

You are caring for a patient who has sustained a significant head injury. During a routine neurologic assessment, you pay close attention to the patient’s GCS. During the examination, you note that the previous GCS score was 13 and now it is 9. Based on this finding, you might suspect which of the following?

You are doing morning quality checks on the linear accelerat…

You are doing morning quality checks on the linear accelerator that delivers 3D, IMRT and SBRT treatments.  One of the lasers measure 1.8mm off from where it should be.  The other 2 lasers are accurate.  You look through the daily schedule to determine what types of treatments are scheduled for the day.  There are only 3D and IMRT treatments for the day, but tomorrow there is also one SBRT treatment scheduled.  How do you proceed to ensure safe treatments are delivered?