In addition, variations in practice, which take into account the needs of the individual patient and the resources
and limitations unique to the institution, may warrant
approaches , treatments and/ or procedures that differfrom
the recommendations outlined in the ENRs. Therefore, these
recommendations should not be construed as dictating an
exclusive course of management, treatment or care, nor does
the use of such recommendations guarantee a particular out-come. ENRs are never intended to replace a practitioner ’s best
nursing judgment based on the clinical circumstances of a
particular patient or patient population. ENRs are published
by ENA for educational and informational purposes only,
and ENA does not approve or endorse any specific methods,
practices, or sources of information. ENA assumes no liability
for any injury and/or damage to persons or property arising
out of or related to the use of or reliance on any ENR