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)
    Neuroscience/Neurotrauma ICU (C9I)

    Center 9-I (C9I) is an 18 bed Neuro-Trauma Intensive Care Unit, (one of five) at Hartford Hospital. We provide Neuro and Trauma specialty care, as well as being the receiving site for the regions tertiary Stroke Center. The team is the cornerstone for delivery of high quality care to critically ill patients with multiple trauma, traumatic brain injury, spinal cord injury, SAH, and stroke. We are staffed 24-7-365 with Physicians and Midlevel practitioners (APRNs and PAs) to provide seamless team care. Our Nurses work 12 hour shifts to promote continuity of care. We utilize cutting edge technolgy in Neuro-trauma care and monitoring including Licox and fiberoptics. We maintain JACHO Stroke Center Accreditation. We provide care to both Neurosurgical and Neurology patients, in addition to surgical critical care overflow populations as necessary.

    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 CESI training, the Red Pod Trauma class and the Trauma Nurse Core Course (TNCC).

    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.

    Neurology/Neurosurgery/Trauma/ENT (North 9)

    Neuro Science staff examinging cerebral imageNorth 9 is an 18 bed unit with an additional 9 bed stepdown. It is the center of Hartford Hospital's Neuroscience Center of Excellence. We are recognized as a Comprehensive Stroke Center - the only one in New England.

    The unit utilizes a multidisciplinary team to care for the needs of patients with acute stroke, head injury, neurologic diseases, seizures as well as patients undergoing neurosurgical procedures.

    As a Level 1 trauma center, our unit has an integral role in the care for trauma patients. We have a dynamic, motivated, professional nursing team who can provide exceptional care to the very complex needs of neuro/trauma patients.

    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.