Quote from peaceful2100
Suspected lower leg by Ankle/or even possibly ankle.
Kid flat out refused for me to touch leg. Place ice pack on leg right by ankle where they pointed, did not want it on leg/ankle.
Assessed for pulse, and warmth.
Kid was in pain, but not to the point of yelling or screaming.
If the kid was home, parents would presumably drive him to the ER or even the pediatrician's office for this kind of injury. Unless the bone is sticking out of the skin, I see no need for EMS. And, as someone else pointed out, ambulance rides are expensive so it may have actually been the parents' preference to transport the child in their private vehicle. Many insurances have high deductibles/coinsurances these days and they may appreciate saving the cost of an unnecessary ambulance.
I never called 911 when I worked in the school and only did it twice when I was a visiting nurse- once was a kid whose mother had let him spend the night tachypneic and breaking out in hives because she knew I was coming the next morning, the other time for a baby with untreated hydrocephalus who was starting to show signs of increased ICP (bulging fontanelle, no upgaze, high pitched cry, vomiting) who could have been transported in a car if there were any reliable adult to bring him. He was with a neighbor who let him vomit and cry all day and the Dad told me he didn't have a license when I called him and told him he needed to come home to bring the baby to the ER. The only reason I called 911 in that case was because of the social situation- I couldn't leave and hope that a licensed driver would show up and bring the baby to the ER when they'd left him in not good condition all day. He also had an open case with CPS and, though he didn't need emergency surgery that day, he soon did have surgery for his hydrocephalus and the next time I went to visit him he wasn't there because CPS had taken custody of him.
It sounds like this family had their act together and responded appropriately. I think you did the right thing.