WWYD?

Short version: I saw a pt for another nurse last week and drew a PT/INR. (No meter, hand-carried to lab.) I left instructions on the lab slip for the lab to call physician with result. Next day, I was on my way 40 miles+ out to see a new pt, receptionist called and said that Dr wanted a nurse to call the result to her, even though the lab had called and the result had been faxed. Bizarre, but whatever. Problem is, I had not seen the actual result and would've been calling the doc with a result that I had not personally verified but had been told by the receptionist. I asked if the nurse in the office would do it, since I hadn't seen the result and let her know that pt had been admitted to the hospital for scheduled cardioverson (different doc).

So I get a call this morning from the DoN wanting to know why I had refused to call the doc with the result of the PT/INR. What? I didn't refuse to call, just said that if it needed to be done immediately, then office nurse would need to do it, otherwise it would have to wait until I got into the office later that afternoon so that I could verify result. She reamed me for making a nurse who didn't know the pt call the doc with the lab result.

BTW, nowhere on the 485 did it say that result was to be called to the doc, no one told me ahead of time that it needed to be called by the actual nurse seeing the pt. The nurse who handed me the pt didn't even bother to give me a working phone number and I went out there blind. And I get talked to about needing to be a "team player!"

So, should I have called the result that the receptionist told me and trusted that she was right?