Babies given wrong dose of Heparin @ Cedar Sinai

  1. I'm a new nurse and haven't worked in a hospital setting yet, but I was under the impression a lot of facilities were getting away from heplocks and using saline locks instead???



    The twins were born to Quaid and wife Kimberly Buffington November 8 via surrogate.


    Dennis Quaid's Newborn Twins in Medical Nightmare


    TMZ has learned that Dennis Quaid's newborn twins are fighting for their lives after being inadvertently overdosed at Cedars-Sinai Medical Center in Los Angeles.

    Sources tell us the twins -- Thomas Boone and Zoe Grace -- were accidentally given a massive dose of Heparin, an anti-coagulant. Babies typically get 10 units. Our sources say they were each mistakenly given 10,000 units.
    Article in its entirety:

    http://www.tmz.com/2007/11/20/dennis...cal-nightmare/
    Last edit by sirI on Nov 20, '07 : Reason: edited for copyright purposes
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  2. 120 Comments

  3. by   Jolie
    The picture shows Dennis Quaid carrying 2 apparently healthy newborns. Are these supposedly the babies who are fighting for their lives due to an OD of heparin? Something doesn't quite add up between the picture and story.

    If there was a medication error involving heparin, it would be a sad repeat of the recent events in Indianapolis.
  4. by   sirI
    The picture is prior to this horrible event.
  5. by   Jolie
    Quote from sirI
    The picture is prior to this horrible event.
    Siri,

    Why were the babies in the hospital then? I assumed that they were preemies, but this picture shows apparently healthy babies who were definitely not in need of NICU care. What took both babies back to the hospital with a need for IV access?
  6. by   sirI
    Here is the announcement of their birth:

    http://www.people.com/people/article...s-topheadlines

    I do not have any other current links to the heparin story.
  7. by   jtjames
    a nurse gave the newborn twins 10,000 units of heparin instead of 10 units at cedar sinai in LA. A tech apparently had left the wrong syringe and the nurse grabbed it and gave it to them. The babies started to bleed out. Apparently another 13 pts were also affected. Check out TMZ.com
  8. by   cathys01
    This is from FoxNews today:

    http://www.foxnews.com/story/0,2933,312357,00.html
    LOS ANGELES — Dennis Quaid's newborn twins are fighting for their lives Tuesday after mistakenly being given an overdose of Heparin, a blood thinner, at Cedars-Sinai Medical Center in Los Angeles, TMZ reported.

    Ordinarily, babies are given 10 units of the anti-coagulant. However, a hospital technician who had stored the drug in the wrong place resulted in the babies' nurse giving them the massive overdose of 10,000 units of Heparin, TMZ said.

    A source told TMZ the Quaid babies were given two doses, one Sunday morning and one Sunday evening.

    The twins are being given Protamine, the Heparin antidote, and are said to be in stable condition.
    Last edit by sirI on Nov 20, '07 : Reason: edited for copyright purposes
  9. by   Jolie
    Quote from jtjames
    a nurse gave the newborn twins 10,000 units of heparin instead of 10 units at cedar sinai in LA. A tech apparently had left the wrong syringe and the nurse grabbed it and gave it to them. The babies started to bleed out. Apparently another 13 pts were also affected. Check out TMZ.com
    I understand that part. My question is why were the babies in the hospital? Based on the picture in the original post, they apparently were healthy (near) term babies, discharged from the hospital. Why did they go back to the hospital and require IV access?
  10. by   sirI
    Multiple duplicate threads merged for continuity.

    Thread moved to Nursing News.
  11. by   dawngloves
    "Ordinarily" babies don't get heparin.I have never given heparin to a neonate. Sure, it's mixed in with central access fluids, but unless these were cardiac kids I can't imagine why they were getting heparin.
  12. by   dawngloves
    Quote from Jolie
    Siri,

    Why were the babies in the hospital then? I assumed that they were preemies, but this picture shows apparently healthy babies who were definitely not in need of NICU care. What took both babies back to the hospital with a need for IV access?
    I don't know. Those are nice sized preemie twins.
  13. by   dawngloves
    Wait! Were these flushes??? Who is still using heparin flushes on their unit?? Wasn't there a similar mishape where babies died because of heparin flushes??
  14. by   elizabells
    Quote from dawngloves
    Wait! Were these flushes??? Who is still using heparin flushes on their unit?? Wasn't there a similar mishape where babies died because of heparin flushes??
    That's what I'm wondering, too. Maybe an art line flush? I still can't figure out the timeline, though, since it shows him carrying them around in carseats. Maybe they got jaundiced and had to go back? But then they shouldn't have needed an art line or anything other than bili lights. The article also says "babies usually receive 10 units of heparin..." like this was some standard practice, like VitK and erythro. Something weird is going on here. Edit Sorry, dawn, didn't see that you had already pointed this out.

    And if 13 babies got it because a tech had put the wrong vials out, then either a lot of nurses weren't checking vials, or someone was using the same vial for multiple patients. Baaaad practice. I've also never personally drawn up heparin, except to anti-coagulate just prior to starting ECMO. All other times it's done in the pharmacy. But the article says the nurse did it, so... this is such a weird story.
    Last edit by elizabells on Nov 20, '07

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