PPOC POL addressing of RN critical documentation

Our RNs document POC critical values/notification to MDs in EPIC on a critical results flowsheet. I audit them everyday and email their educators and managers if they are not in compliance. 

What CAP requirement is this in reference to? I am not familiar with Code 2 by Abbott Freestyle so I'm not sure what it says, but if it is reference to COM.30000 - if the person taking the test also treats the patient, you don't need a RBV - only documentation of the critical result, date and time in the test report or EMR. If the Code 2 does not fulfill this info, then I can understand the deficiency. I only mention this because I was able to have a deficiency expunged with this amount of documentation with critical EPOC results in the MOR. 

Here is the last paragraph of COM.30000
" In the point-of-care setting, the identity of the testing individual and person notified need not be recorded when the individual performing the test is the same person who treats the patient. In this circumstance, however, there must be a record of the critical result, date, and time in the test report or elsewhere in the medical record ."

Not sure any of this is relevant to your needs but I thought I'd mention it, just in case it is helpful.I went back and forth with my inspector and in the end was able to work with CAP to remove it. 

To Epic users- (we are in the process of installation EPIC) does this critical values notification include all labs and POC? Can they be individualized to just POC? What is included on this documentation?

Cristina- our last set of inspectors noted the canned code in Meditech but stated they needed more documentation and the canned code no longer satisfied COM. 30000, even if the operator was identified as same person who treated the patient- RN. 

Has the verbiage of COM.30000 changed from Cristina's post above? How can CAP say the intent is not met if the canned comment says "provider notified" and the comment can be traced back to the operator with date and time? (if it's an RN, CRNA, or other treating the patient)