There should be no reprisals for this sort of patient advocacy, although, we all know some docs can’t handle any dissenting opinions. What if the patient had died that night from sepsis after a ruptured appendix-then the same doc might say-”they didn’t call me….”

So, in my opinion, your supervisor should of been the one to call her supervisor-and they should be dealing with the doc, not putting you in that position. We have instituted that protocol at our hospital, mostly to good effect.