The literature describes use of a rapid response team (RRT) of critical care nurses and respiratory therapists who arrive at medical-surgical patients' bedsides within minutes of a crisis situation, yet, few articles detail the processes necessary for implementation. The rationale, planning, and evaluation of such an effort at a large, tertiary care hospital in the urban Southwest is described. By describing the development and phased deployment of the RRT, the authors provide key insights into the processes used as well as structures needed and lessons learned.