Does your unit use Fentynal PCAs for labor? I have been at my current job since Feb. One of the doctors will occasionally order Fentynal PCA for labor. So far I really like the concept. The patient has more control of her labor which can really be helpful in a situation which you often feel no control at all. I had my first patient on this last night. I got it set up right during change of shift so I did not have the patient very long. I know that whenever you give a drug in labor you write it on the strip when you give it. (i.e. I press the mark button right when I give slow IVP Fentynal 50mcg and write that on the strip. )I wrote the loading dose and when I started the PCA on the strip. My question is what you do about the PCA part... The patient had a continuous with a 15 min lock out. Since I very well cannot be in the room for every time a patient gives herself a does, I cannot foresee pressing the mark button every time a self dose is given. How do I chart this on the strip? Do I even need to chart the self doses on the strip?