The document needs to be reviewed and applied based on the specific needs of the organization or practice setting/environment, as well as the needs and wishes of the client. [...] Choose the technique of debridement, considering the type, quantity C and location of non-viable tissue, the depth of the wound, the amount of wound fluid and the general condition and goals of the client. [...] The RNAO strongly recommends the use of this Toolkit for guiding the implementation of the best practice guideline on Assessment and Management of Venous Leg Ulcers. [...] In the guidelines reviewed, the panel assigned each recommendation a rating of A, B, or 18 C level of evidence (LOE), to indicate the strength of the evidence supporting the recommendation. [...] Guideline Development Process In February of 2001, a panel of nurses with expertise in the practice and research related to venous leg ulcers, from community and academic settings, was convened under the auspices of the RNAO.