A patient accuses a Personal Care Assistant of theft regarding five dollars. What should the PCA do first?

When faced with an accusation of theft, the highest priority is to address the situation appropriately and professionally. Notifying the agency supervisor is the best initial action for several reasons. First, the supervisor can provide guidance and support in handling the situation properly while ensuring that company policies and procedures are followed. This step not only helps in documenting the incident but also maintains a clear chain of communication.

Involving a supervisor ensures that the PCA is not acting independently, which is crucial in situations that could escalate or lead to misunderstandings. It also helps protect the PCA’s interests, as the supervisor may take appropriate actions to conduct a review or investigation regarding the accusation. Additionally, this approach reinforces professionalism and accountability, demonstrating the PCA's commitment to resolving the matter in a suitable and ethical manner.

Other options may not provide the appropriate response. Ignoring the accusation could lead to unresolved tension and potential escalation of the situation. Confronting the patient could cause hostility and further complicate the issue, potentially damaging the caregiver-patient relationship. Asking for a witness might be helpful later on but does not address the immediate need to report the issue and seek guidance.