Yes, ours is just as strict. If you forget to enter your action code, you're put into the disciplinary process.
We have to comment, but there are only two choices that ever apply - notified the MD/NNP or no intervention needed. Even in the midst of drawing other labs or providing other care, if you look at the displayed glucose you have time to enter the code. If something happens and I can't enter the code, I'll give a shout to another RN who will handle that part. If both of those things fail and the machine shuts off, we also have to alert the lab - only because they handle all of the lab related equipment and will manually enter the action code needed with their management software. Our electronic chart also allows for a comment to be entered by the RN later, but that's not the "preferred method."
I loathe to forget the first time, though. It's a pain in the rear, but much less so than the paper trail if you forget.