Random thoughts: It sounds like the patient is able to communicate appropriately - was she able to follow any commands as far as moving the leg? Any deformities noted during your assessment? Now you know you can add on specific questions when assessing changes in condition, "When did this get this bad?/What were you doing when this severe pain started?" - but honestly this is part of learning and this is as good a situation as any to learn it.
This delay didn't happen because you failed to recommend an x-ray. The x-ray is the main/obvious thing that would have been useful and by saying that the patient didn't need to go to the hospital after hearing all of your information, he basically said he didn't think she needed an x-ray.
Agree w/ Wuzzie that the communication finesse involved [AKA "getting what you think is necessary"] is something that comes with experience. Don't be afraid to be pleasantly persistent and don't let your perception of a physician being annoyed change that. Who cares whether they're happy about hearing from a nurse or not.
I think you did very well
, even though I've written a couple of items for next time.
Your concern for the patient is evident in what you've written, and it is especially good that you did all you could to try to mitigate the pain during the night. So kudos for that!
Write the events succinctly as Wuzzie showed you, including the fact that you notified the supervisor.
Oh, BTW - is leaving a note about report the way things roll usually?