Robert McKenna, MD
It is of the utmost importance that you contact Dr. McKenna (310) 486-6765 prior to removing thoracic epidural catheters. The same goes for Dr. Onugha (310) 902-4113.
Please DO NOT trust that the RN knows what the thoracic surgeon wants to do with the epidural. Have physician to physician communication.
Also, place a "Nursing Communication" Order:
When logged into patient's chart, go to the Orders tab, then click on "Orders" and scroll to the bottom
On the "Additional Order and Order Sets Search" box, enter "nursing communication" and click on that order
Type in the nursing communication order, something to the effect of: "Please instruct any anesthesiologist/pain management doctor to contact the surgeon before removal/discontinuation of thoracic epidural catheter. There MUST be physician-to-physician communication prior to epidural catheter removal."
Make the order last 10 days, which is typically the maximum amount of time an epidural catheter should be left in place.