Phone orders

Soooooo. Got a patient with a PICC. Not my patient, never seen him before. Get to his home and he requests that I changes his PICC dressing as it had some drainage under it. Last changed 5 days ago. I take off the dressing and note redness to basically right under where the stat loc is. No swelling, no heat, patient's vitals all normal. Patient does say it itches. So I think it is an adhesive allergy. Call the IV provider and they are going to send out a different dressing by mail...expect arrival in 2 days when next dressing due. I finish changing the dressing.

It is after 4:30pm on a Friday so when I call the ID office it is the afterhours doctor I get...who actually happens to be the doctor I want. The doctor responds to my description of the wound but I honestly have NO freaking clue what she just said. I ask her to repeat and again, not a damn clue. Like so bad I don't know if she is giving me an order or if saying my response and plan is reasonable. She hangs up the phone and I have nooooooo clue what she just said.

I decide to stick with my plan. The patient is aware that if redness worsens or spreads or if he starts to feel bad or even have a tiny temp he needs to go to the E.R. What would you do?