Toronto Western Hospital MSNICU

Medical Surgical and Neuro ICU at Toronto Western Hospital

Toronto Western Hospital (TWH) is located in the vibrant heart of the downtown communities of South Annex, Chinatown, Little Italy, Little Portugal and Queen Street West. It is a 270-bed academic health science centre with world-leading specialty program in neuroscience (Krembil Neuroscience Program). The hospital also has a strong community focus, providing emergency care and innovative outpatient programs for its large multicultural surrounding population. With expertise in musculoskeletal health and arthritis, the hospital’s programs also include orthopaedics, rheumatology, ophthalmology and the hand program. The bariatric comprehensive program offers medical and surgical care for candidates for bariatric surgery. Finally, its busy Emergency Department sees more than 60,000 patients annually.

Toronto Western Hospital has a 33-bed Medical-Surgical and Neuroscience Intensive Care Unit. The TWH MSNICU admits approximately 950 medical-surgical and brain-injured patients per year, with a case mix of 55-60% general critical care patients and 40-45% neuroscience patients (acute ischemic stroke, subarachnoid hemorrhage, intracranial hemorrhage, traumatic brain injury, spinal cord injury, and neuromuscular disease). The ICU has a busy Critical Care Response Team, handling more than 900 emergency consults per year.

Clinical coverage is provided with a two-team model. Each team is comprised of an intensivist, a designated fellow and half of the resident house staff. The Critical Care Response Team includes one of the two intensivists, a fellow and a critical care nurse.

Visiting a Family member?

Our unit is open 24/7 for visitors and families. We allow 2 visitors at a time.

Please find here some additional information about our unit.

Our social worker Maggie Ho and spiritual care specialist are here for you should you need any support.

Partners in care in the MSNICU

Being a partner in the care of our patient means that you can be as involved as you would like to be.

It also means that

  • You are given information in a way that you can understand
  • You can take part in decisions about the care of your loved one
  • Your family information, what you think and what you have to say are considered in the plan of care for your family member

Joining in the MSICU Patient and Family Centered Medical Rounds is one way for you, our patients and family members, to be partners in care.

What are Patient and Family Centered Medical Rounds?

Every morning between 9:00 am and 12:00 pm doctors, nurses, respiratory therapists, pharmacists and other members of the MSICU team meet to talk about each patient.

They will talk about:

  • Overnight issues and any changes in the last 12-24 hours
  • The patient’s progress and current health condition
  • New lab, study or test results
  • Possible options for treatment
  • Daily plan of care

Each team member will share his or her opinion and ideas for care. The attending doctor will make the final decision on the plan of care.

Rounds are a teaching time for doctors in training and staff. Rounds are a learning time for everyone, including you

Who can attend these rounds?

UHN is responsible for safeguarding a patient’s medical information so it is important that only certain people close to the patient take part in Rounds. These people include:

  1. The patient
  2. The person he or she has chosen to receive information
  3. The Substitute Decision Maker (SDM) or designate if he or she is not capable to speak for himself or herself
A substitute decision maker is the person designated by law to make decisions for a patient who is not able to make decisions for him and herself

If a patient is capable of telling us who they want at rounds, we will ask who they want to receive medical information and who they want to attend rounds.

What is my role in Patient and Family Centered Medical Rounds?

As a member of the health care team, you are invited to actively take part in rounds.

You are welcome to:

  • Write down your questions and take notes before and during rounds

At the end of the medical discussion, there will a few minutes set aside for you to:

  • Ask questions to clearly understand the information and decisions being made
  • Tell the team what you think will help your family member

If you have more questions than there is time for, a doctor will return later in the day to address them.

Do I have to take part in rounds?

Taking part in medical rounds is up to you; you do not have to attend if you do not want to. You decide how comfortable you feel talking during rounds. Just listening is okay too!

When and where do rounds happen?

Rounds happen each day outside the patient’s room between 9:00 am and 12:00 pm. If the patient is able and wants to take part, rounds will be held in the patient’s room. It usually takes 15-20 minutes for each patient.

If you wish to attend rounds, speak to your nurse. We can’t predict exactly what time the team will round for each

Privacy and confidentiality in the hospital

University health network is committed to protecting the privacy of each patient and their family. Keeping patient information confidential is very important to us. While you are in the hospital, you may overhear information about another patient. We ask you to help us maintain privacy for every family

  • If you hear something about another patient, please keep the information
  • Don’t share information you have overheard about another patient with anyone, including the other patient’s

Who can I talk to for more information about Patient and Family Centered Medical Rounds?

You can speak to your nurse, the social worker, or spiritual care provider.

Despite our best efforts and the therapies implemented, your beloved one may succumb during their ICU stay.

Please do accept our most sincere apologies should that be the case.

Find here some information on the subsequent steps and how to get support through this difficult moment

Our team is composed of 9 intensivists who collaborate in close relationship with registered nurses, respiratory therapists, physiotherapists, social worker and spiritual care. as well as with other medical and surgical specialties

Our Intensivists

Allied Health Professionals

Rebecca Sinyi
Nurse Manager

Angela McGauley
Head Respiratory Therapist

Maggie Ho
Social Worker

Spiritual Care Specialist


The ICU is locate in the Fell Building, on the 2nd floor. The closest entrance is off Bathurst Street.
TWH Floor Map 

You can contact us 24/7 by phone: (416) 603 5818​


399 Bathurst Street
Toronto, ON
M5T 2S8


Nassau entrance (between Dundas and Leonard)

Leonard entrance (between Nassau and Wales)

Dundas entrance (just east of Bathurst)

Bathurst entrance (just north of Dundas)

Krembil entrance (corner of Leonard and Nassau)


Bathurst and Leonard Street entrances — locked at night from 10:00 p.m. to 6:00 a.m.

Emergency Department entrance (Dundas Street) — always open


511 Bathurst – Stop outside the hospital, on Bathurst
505 Dundas – Stop at corner of Bathurst and Dundas
506 College – ​Stop at Bathurst and walk south


A free shuttle service runs Monday-Friday, between TWH and TGH.
There is no shuttle service on weekends and statutory holidays.

TWH (Leonard St. entrance) 6:00 am – 8:00 pm, runs every 15 min.
TGH (University Ave. entrance) 6:15 am – 8:15 pm: runs every 15 min.


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