Hartford Hospital and Neuro Science/Neuro Trauma are dedicated to the care of the neurology, neurosurgery, trauma and ENT patient.

Learn more about our units:

  • Neuroscience/Neurotrauma ICU (C9I)
  • Neurology/Neurosurgery/Trauma/ENT (North 9)
  • The Program Director is Maria Tackett, RN, MS, CCRN, CEN, CNAA-BC.

     
    Neuroscience/Neurotrauma ICU (C9I)

    C9I, the Neuro-Trauma Intensive Care Unit, has had a long history in the development of neuroscience nursing at Hartford Hospital. Dr. William Scoville described the beginnings of the neurosurgical ICU. In “A Personal History of Neurosurgery at the Hartford Hospital” which was published in1979 in the Hartford Hospital Bulletin, Dr. Scoville wrote, “In our development we were the first department to have an Intensive Care Unit, persuading the hospital to convert two rooms into an eight bed unit which was so crowded that when working on one patient we frequently sat on the adjacent bed. When an Intensive Care Unit was officially built we persuaded the Administration to have an ICU for each and every specialty needing such a unit.”

    Since 2002, in response to the increasing need for specialized neuro-trauma ICU beds, the unit has increased to a total of 18 beds. Now serving as a regional center for neuro-trauma ICU care and caring for complex patients presenting with neurological, neurosurgical disorders or severe injury.

    C9I Neuro Trauma StaffToday, the nurses of C9I provide the latest interventions to benefit neuro and neurotrauma patients. Advances in neuroradiology procedures including embolization of vascular abnormalities in the central nervous system, intra-arterial and intravenous tPA and clot retrieval have brought new challenges to the critical care nurse caring for patients in the Neuro-Trauma ICU.

    The unit staff has been in the forefront of implementing Computerized Physician Order Entry (CPOE) and the Electronic Medication Administration Record (EMAR). Since 2003, the unit has participated in the
    Organ Donation Breakthrough Collaborative, a national coalition, significantly increasing the donor referral and conversion rate in the hospital.

    In the fall of 2009, the nursing staff hosted the first annual Blotner Neuroscience Nursing Symposium. Each year since then approximately 200 colleagues from the region gather to hear national speakers in neuroscience nursing and medicine presenting current concepts in care and research.

    Patient Care Delivery System:
    • Neuro Intensivist MDs (round twice daily)
    • Critical Care MDs (round twice daily)
    • Mid-level practioners (24x7x365)
    • Nurses round as part of the team daily
    • Nurses Aides assist with patient ADLs as delegated by RN

    Special Equipment Used:

    • ICP monitoring
    • Flowtracs
    • Esophgeal dopplers
    • Swan Ganz/PA catheters
    • Arterial lines
    • Central Lines
    • Level 1 Rapid infuser
    • CVVH bedside machines
    • GE Cardiac Monitors
    • Pyxis medication stations
    Special Medications Administered:
    • Vasopressors
    • Anesthetics
    • IV Pain meds
    • Insulin drip protocol
    • IV TPN and Lipids
    • IV fluids 
    Special Procedures:
    • Intracranial Pressure Monitoring including external ventricular drains and fiberoptic monitoring systems (licox)
    • Esophageal Doppler
    • Non-invasive monitoring, IV and IA TPA
    • Post-op Neuro-interventional care including Neurovascular aneurysm coilings
    • Post-op open craniotomy care
    • 24-hour Stroke Center care
    • CVVH dialysis
    • Flowtrac central access monitoring
    • Swan Ganz/PA catheter monitoring
    • Organ Donation patient management
    • End of Life care

    Educational Opportunities/Orientation

    Nursing growth and development of staff are a high priority.  There is a focused orientation, which includes clinical time with preceptors focusing on the care of the patients with cerebral aneurysm, brain tumors, head and spinal cord injuries.  The special needs of the patient undergoing neurointerventional procedures, as well as intracranial pressure monitoring, are also key components for the orientation to C9I.

    There is a strong mentorship program on the unit.  Staff members are also participating in SimCenter training, the Red Pod Trauma class and the Trauma Nurse Core Course (TNCC).


    C9I Neuro Trauma Staff

    The Nurse manager is at the forefront in facilitating the certification classes for Certified Critical Care Registered Nurse (CCRN) and Certified Neuroscience Registered Nurse (CNRN) here at Hartford Hospital.

    There are many education opportunities both within the hospital and outside which are offered and staff are encouraged to attend. 

    C9I strives to provide patients with cutting edge technology and the best science related to care.  The Licox brain tissue oxygen monitor system is in use in the unit.  The monitor guides the team in adjusting cerebral perfusion pressure (CPP) based on patient needs.  Other advances are related to neuroradiology procedures including embolization of vascular abnormalities, clot retrieval (MERCI procedure) and intra-arterial and intravenous tPA.
     
    For Information on positions available, please contact: Kathryn Ruszczyk, RN, MSN, CCM, Unit Manager, 860-545-5253.
     
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    Neurology/Neurosurgery/Trauma/ENT (North 9)

    Neuro Science staff examinging cerebral imageNorth 9 is a 30 bed medical/surgical teaching unit (with a 6-bed step-down area) specializing in the care of Neuro/Trauma/ ENT patients. Diagnoses commonly seen on North 9 include trauma including patients involved in MCA’s, CVA, Post-Op Brain surgery, Post-Op Lumbar and Cervical disc and fusion surgery, Epistaxis, and Multiple Sclerosis.

    The patients on North 9 typically have many technical aspects included in their care such as:

    • Central and PICC lines
    • Tracheotomies
    • G/J Tubes
    • Chest Tubes
    • Halo Cervical Immobilzation
    • Lumbar Drains
    • Patient Controlled Analgesia Pumps
    • Epidural Analgesia Pumps
    Other Special features include Shared Governance, The Neuroscience Health Care Team, The Trauma Health Care team, and a team approach to patient care.
     
    For Information on positions available, please contact: Vicie Brooks RN, Unit Manager, 860-545-1412.
     
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