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Registering your facility for BloodSTAR*

Background: BloodSTAR is an online system used to underpin the Immunoglobulin Governance National Policy: Access to Government Funded Immunoglobulin Products in Australia. The system is used by Prescribers, Nurses, Dispensers and Authorisers of government funded immunoglobulin products.

Purpose: Please complete all facility details fields to allow facility registration in BloodSTAR. Please nominate a minimum of two Facility Administrators to grant access to other staff at your facility.

Before you begin

Determine whether or not your facility needs to register for BloodSTAR:

BloodSTAR Classification	Facility Type	Facility Functions	Does my facility need to register for BloodSTAR?
Treatment Facility	Clinic	Ig Prescribing and/or	Yes - Please complete the BloodSTAR registration form below
	Doctor's rooms	Ig Patient Management and/or
	Hospital	Infusion of Ig Product
Dispensing Facility	Pathology	Receive Ig Stock and/or	No – Dispensing will be managed in BloodNet
Dispensing Facility	Pharmacy	Dispense Ig to Patients	No – Dispensing will be managed in BloodNet

Information required to complete the online form

Facility address and contact details
Awareness of IVIg and SCIg services and arrangements at your facility
Facility administrator details
(Initially two per facility. Click here for information about Facility Administrators)
Facility administrator BloodPortal usernames
(Requires users to Create an account portal.blood.gov.au)

Online Facility Registration Form

Complete the fields and click submit to register your facility.

Facility Name

Facility Name *

Facility Address

Street *

Suburb/Town *

State/Territory *

Post code *

Facility contact details

Switchboard/Reception Phone *

Facility website

Primary facility registration contact person *

Primary contact phone number (if different from above)

Co-location

Is this facility co-located with another hospital/facility? *

No

Yes

Please enter co-located hospital/facility name *

Patient identifier

Does your facility use a unique patient identification number? *

No

Yes

EG URN – Unit record number

Select the patient identifier type from the list below *

Immunoglobulin treatment services

Tick the box(es) that relate to services offered by this facility

Immunoglobulin treatment services *

Treatment services including:

Management of patients treated with Intravenous Immunoglobulin (IVIg) infusion.
Management of patients via Hospital Based Subcutaneous Immunoglobulin (SCIg) Program
Ig Patient consultation, diagnosis and review.
Prescribing of IVIg and/or SCIg.
Administering of IVIg and/or SCIg doses to patients.

Dispensing services including:

Ordering of IVIg or SCIg directly from Lifeblood.
Dispensing of IVIg and/or SCIg for use at this facility.
Dispensing of IVIg and/or SCIg for use at another facility.

Authorising services including:

Evaluation of Authorisation Requests for Immunoglobulin.

Reminder: If your facility is a Pathology Laboratory or Pharmacy you will use BloodNet and do not need to complete this form.

Immunoglobulin supply arrangements

Does your facility order IVIg or SCIg products directly from Lifeblood? *

No - Please list any non-Lifeblood supply facilities below under dispensing relationships

Yes

Enter your Lifeblood AHP code E.G. 21ABCD

Dispensing Relationships (if applicable)

Does your facility have IVIg or SCIg supply arrangements with another facility? *

No - My facility only orders product directly from Lifeblood

Yes

Please list any dispensing relationships with other hospital/ clinic/ private doctors room/ pharmacy/ pathology/ transfusion laboratory(s) below

Dispensing Facility Name	Dispensing Contact Name	Dispensing Phone Number
Dispensing Facility Name	Dispensing Contact Name	Dispensing Phone Number

Facility administrator nomination

To complete the Facility Administrator registration process, please supply the BloodPortal Username for each nominated Administrator. This may be completed later if necessary but will enable those listed below to grant access to other staff at your facility.

New users need to 'Create an account' at portal.blood.gov.au
Existing users of BloodNET can use their existing BloodPortal username and password.

Please note:

Facility Administrators will be able to approve access for other staff at your facility
The staff listed below will be able to create additional Facility Administrators
There is no maximum number of Facility Administrators per facility

1. Primary Facility Administrator

Name *

Enter your full name

Username *

Blood Portal Username Not a User? Register here.

Phone Number *

Best contact number for National Blood Authority Support team follow-up

Email Address *

Please provide work email address

Job Title *

Enter your position name

2. Second Facility Administrator

Name *

Enter your full name

Username *

Blood Portal Username Not a User? Register here.

Phone Number *

Best contact number for National Blood Authority Support team follow-up

Email Address *

Please provide work email address

Job Title *

Enter your position name

Note: If you would like assistance or clarification on any of the above, please contact the National Blood Authority Support team on 13 000 BLOOD (13 000 25663) or support@blood.gov.au, prior to submitting this form.

Please click submit to complete the facility registration process

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Commonwealth of Australia