SafeBaby Quote Questionnaire Please fill out the form so we can determine the best system setup for your needs Hospital Name *Contact Name *Title *Email *Phone *How many beds does your NICU have?What is the average daily patient census?What type of rooms are your NICU broken into? *PodsPrivateBothhow many pods?Average number of beds per podHow many private rooms?Does the NICU have a centralized milk prep room? *YesNoDoes your hospital use nurses or milk techs to prep feeds? *NursesMilk techsTotal number of NICU nursesTotal number of nurses per shiftHour nurse shifts? *8 hours12 hoursTotal number of milk prep techniciansTotal number of milk prep technicians per shiftWhat EMR system is your hospital or NICU using? *Does the NICU have laptops or monitors at the bedside? *YesNoDoes the NICU have a computer on wheels? *YesNoIf so, how many COWs?SEND A REQUEST
