What you did is fine, particularly should a complaint/audit come up.
Having said that, if RT was in back-to-back blues in the IC or ED, yeah, I can see getting ***** because Ms. Puffer, with COPD and a 200 year pack hx, who refused earlier, now
wants her tx.
OTOH, he/she RT should have apologized to you & explained, later on, were that the case.
It helps to know the ancilliary staff, who's a slacker & who is not; it also helps to be aware of the pt's interactions with ancilliary, as much as possible. My wife (RT) used to have cystic teens who would refuse their tx, then an hour later, after they went outside for a cig, would have RT paged.