Final answer:
The first step when receiving a provider's order not aligned with evidence-based practice is to discuss it with the provider to understand their rationale, referencing current guidelines, and seeking to align with the best patient care practices.
Step-by-step explanation:
If you receive a provider's order that is not consistent with evidence-based practice, your first step should be to clarify and discuss the order with the provider. You need to ensure that there is a clear understanding of the rationale behind the order and that the provider is aware of the current evidence-based guidelines and recommendations. It’s important to approach this conversation professionally, respectfully, and with the intent to reach a consensus that is in the best interest of patient care. This might include discussing recent research, guidelines, or standards of care that conflict with the order given. If after discussion the provider's order still contradicts evidence-based practice, you may need to escalate the issue to your supervisor or the medical ethics committee, depending on your institution’s policy.