Table 3 Staff and departmental requirements
| Â | Low risk | Medium risk | High risk |
|---|---|---|---|
Department | - resuscitation protocol | - see low risk+ | - see medium risk+ |
- good consultancy agreement with cardiology / electrophysiology dept. | - Crash cart including ECG monitor and defibrillator (or AED) available at treatment unit | - ECG monitoring at every fraction | |
-external pacemaker available | |||
Staff | - Radiation oncologist and clinical | - see low risk+ | - see medium risk+ |
physicist available with sufficient | - cardiologist/pacemaker | Â | |
knowledge in the management of patients with a CIED. | technician should be available within 10 minutes | - trained staff examines ECG | |
- Radiation therapy technologists should receive training so they can manage complications experienced by the CIED patient having radiation treatment | if needed - pacemaker technologist to check CIED weekly | - pacemaker technologist checks CIED after every fraction |