Alloantibody Exchange

Transfusion Service Locations

This project plan will include connections between the Alloantibody Exchange and the following transfusion services. Please add one location for each accredited blood bank.

Name:

Enter Software Used by the Blood Bank:

Enter Software Used by Clinicians:

Enter Transfusion Service Address:

Key Personnel

Identify personnel for the project's roles. The project manager will receive all project communications. Otherwise, only personnel responsible for the task and their manager will receive communications relating to tasks within their domain.

How should we address this person?

Email:

Enter Phone:

Role(s): Drag and Drop the Roles from Below Here

List of Roles: POC, Point of Contact. BAA, Business Associate Agreement. DBA, Database Administrator.

POC: Blood Bank

Manager: Blood Bank

POC: Information Security

Manager: Information Security

POC: Contract & BAA

Manager: Contract & BAA

Blood Bank Software DBA

POC: Software Implementation

POC: Active Directory

Blood bank task

IT task

Legal task

Last Update Date

Blood bank task

IT task

Legal task

Alloantibody Exchange

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Completion of this form will provide the next steps to participate in the Alloantibody Exchange

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Transfusion Service Locations

Key Personnel

Last Update Date

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