a confirm function upon saving seems to trigger the record to save regardless of if the user clicks Okay or Cancel. Any obvious things to check first?

I assume you mean in a saveRecord entry point on a client script. You need to return false from the function if you want to prevent it from saving

Hmm I seem to have the opposite problem then if I include return false. Now it doesn’t save even if Okay on the confirmation is selected

Got it. Very helpful. Thank you