Rapid Response Unit® Design Build Form

Complete this guided form to configure your RRU® Hemorrhage Cart System. This experience is designed to simplify the ordering process and reduce configuration errors.

Need Help?

Watch the instructional walkthrough video before filling out the form.

Video Link: https://crecheinnovations-my.sharepoint.com/:p:/p/abigail/IQCW2k6HVO3ETICV4nczJYmNAbHWYRMhc_ZqNJiBdPT4dRg?e=1AUHzN

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1. Hospital Information

Approx. 3 Minutes

Basic facility and accreditation details.

Date

Hospital Name

Hospital / Healthcare System

TJC Accredited?

Accrediting Organization

Estimated Births Per Year

Hospital Address

City, State, Zip

Estimated PPH Cases Per Year

Hospital Capital Threshold for Medical Equipment

Purchase Timeline

Hospital Fiscal Budget Year

Does Your Hospital Benefit from Donor Philanthropy Funding?

Additional Information Requested

I would like to learn more about Creche Innovations Philanthropic Assistance and Assessment Kit.

I would like to learn more about obtaining certification as a Safe Baby Birthing Center.

I would like more information on Creche Innovations online training classes and continuing education credits.

2. Clinical & Purchasing Contacts

Primary contacts for implementation and purchasing.

3. Cart Configuration Builder

Select your preferred drawer layout and specifications.

If storing a Mobile Suction System, an 8" or 10" drawer configuration is required.

Quantity of RRU Units

Top Color Selection

Drawer Organizer Quantity Per RRU

Included Standard Features

MicroCool Refrigerator

Pullout QBL Scale with Digital Display

Antimicrobial Solid Surface Top

Deluxe Casters (2 Locking)

Push Handle

Medical Grade Power Strip

Power Cord Organizer

Full Cart Lock Bar with Digital Lock

Ready to Submit?