If a nurse suspects falsification of documentation by a UAP, what is the appropriate initial action?

The appropriate initial action when a nurse suspects falsification of documentation by a UAP is to conduct a capillary glucose test personally. This response ensures that the nurse is verifying the accuracy of the information in question and addressing the potential risk to patient safety. By personally performing the test, the nurse can ascertain whether the documented results were accurate and if the patient has received the necessary care.

Taking this step prioritizes the patient's well-being and maintains a high standard of care, which may be compromised if the documentation is indeed falsified. Ensuring that a proper test is conducted allows the nurse to gather firsthand data and provides an opportunity for immediate intervention if the patient’s condition is affected.

While discussing the importance of accurate documentation or providing a verbal warning may be relevant in addressing educational aspects with staff, these actions do not directly address the immediate concern of verifying patient safety. Similarly, asking a client if the test was performed may not yield reliable information or reflect the objective truth of the situation. Therefore, conducting the test personally is the most responsible and effective course of action.