Is it acceptable by both CAP and AABB standards, to use FFP after thawing without changing the product code on the label to "Thawed FFP", only updating the expiry? (Up to 24 hours post thaw)

 

TIA

Are you issiung it ad FFP?  That is not the correct product code.

It should be relabeled.

Yes, agree with Cliff, the product code reflects the frozen or thawed status of the unit. It needs to be relabeled as well as the expiration date/time changed. 

AABB standard as shown in the screen shot mentions if issuing as FFP(after thawing), this implies it is ok to issue as ffp without updating the product?

Is there any standard that states it should be relabelled?

Also circular of information only mentions to relabel (ffp) after 24 hours to thawed plasma. 

Did the advise in the attached screenshot from this site change? And if so which standard, document or reference etc details this requirement? 

The above advice is still on the ICCBBA website so would appear relabelling is not required? 

Many small hospitals lack the ability to reprint ISBT labels and create barcoded expiration dates, so it is acceptable to manually change the expiration dates on plasma to an expiration date of 24 hours.  You must mark out the license number. Also make sure your nurses can't scan the original expiration barcode into the EMR by thoroughly marking through it or similar means.

once thawed, ours are changed / relabeled to "Thawed plasma"  with a 5 day exp immediately....but we get very little FFP - most of our inventory is FP24

From the CAP Transfusion Medicine Checklist:

COMPONENT PREPARATION, STORAGE AND MODIFICATION

The following component definitions are offered as a convenience:

Component	Definition
Fresh Frozen Plasma (FFP)	Plasma frozen within 8 hours of collection after being separated from a unit of whole blood or frozen within 6 hours after collection by apheresis
Plasma Frozen Within 24 Hours After Phlebotomy	Plasma separated from whole blood and frozen between 8-24 hours after collection
FFP, Thawed	Fresh Frozen Plasma thawed between 30-37°C, then stored at 1-6°C for up to 24 hours
Plasma Frozen Within 24 Hours After Phlebotomy, Thawed	Plasma frozen within 24 hours of collection that has been thawed between 30-37°C, then stored at 1-6°C for up to 24 hours
Thawed Plasma	“FFP, Thawed” or “Plasma Frozen Within 24 hours After Phlebotomy, Thawed” which is stored in a closed system at 1-6°C for 1-5 days after thawing

and the related standard:

TRM.44525	Thawed Plasma Label	Phase II
	If Fresh Frozen Plasma or plasma frozen within 24 hours of collection is thawed at 30 to 37°C and maintained at 1 to 6°C for one to five days, it is relabeled as "Thawed Plasma".

My interpretation is only Thawed Plasma, (either FFP or FP24), stored >24 hours (1-5 days) requires relabeling.

 

Edited May 28, 20241 yr by Kelly Guenthner

We did that back in the day when we didn't have access to the proper label printer. Like previously mentioned, you will need is cross out FDA license, update expiration date/time, and storage conditions on the face label. Make sure the ISBT barcode doesn't populate wrong expiration date.