Normative grounds of health care practice in Brazilian nursing

qualitative study with the use of document research, carried out based on resolutions of the Federal Nursing Council. From a total of 263 resolutions, in the period from 1975 to 2015, 38 which were in accordance with the objective of the study were selected.

Results:

three analytical categories were systematized: Normative grounds of health care practice by the nursing team, under coordination/supervision of the nurse; Normative grounds of the care performed privately by the nurse; and Management and administrative aspects which affect and permeate the practice of health care in nursing.

Conclusion:

the set of normative grounds of health care practice by the nursing team leads to the reflection on the possible overlapping of attributions between professional levels and requires expansion to the other fields of nursing which are coherent with the health care network model.

Descriptors:
Professional Practice; Nurse; Resolutions; Nursing Assistance; Standard of Care

Federal Nursing Council (Cofen) Resolution number	Year	Health care practice performed by the nursing team
197	1997	Establishes and recognizes alternative therapies as a specialty and/or qualification of the nursing professional.
210	1998	Concerns the performance of nursing professionals who work with antineoplastic chemotherapeutics.
211	1998	Concerns the performance of nursing professionals who work with ionizing radiation.
214	1998	Concerns surgical instrumentation.
219	1999	Concerns the creation of a network of volunteers, composed of professionals in nursing, to provide care for populations affected by climate catastrophes or that are experiencing post-war calamities.
277	2003	Concerns the ministration of parenteral and enteral nutrition.
292	2004	Regulates the actions of the nurse in the procurement and transplanting of organs and tissues.
306	2006	Regulates the performance of the nurse in hemotherapy.
358	2009	Concerns the systematization of care in nursing and the implementation of the nursing process in environments, public or private, in which professional nursing health care takes place, and provides other measures.
375	2011	Concerns the presence of the nurse in prehospital and inter-hospital service, in situations of known or unknown risk.
376	2011	Concerns the participation of the nursing team in the process of patient transportation in environments that are internal to health services.
422	2012	Regulates the performance of nursing professionals in orthopedic health care and in procedures of orthopedic immobilization.
427	2012	Regulates the nursing procedures for deployment of mechanical contention of patients.
464	2014	Regulates the performance of nursing teams in home care.
501	2015	Approves and establishes the regulation over the competence of the nursing team regarding wound care.

Federal Nursing Council (Cofen) Resolution number	Year	Private attributions of the nurse for health care practices
159	1993	Decides that in all health assistance levels, both in public and in private institutions, nursing consultation must be necessarily performed in nursing care.
195	1997	Concerns the requests for routine and complimentary examinations by nurses.
223	1999	Concerns the performance of nurses in care for women during the pregnancy - puerperal period.
257	2001	Adds mechanism to the regulation approved by Resolution 210/98, designating the preparation of antineoplastic chemotherapeutics drugs to the nurse.
258	2001	Decides that the insertion of central peripheral catheter by the nurse is licit.
295	2004	Concerns the utilization of the therapeutic toy technique by the nurse in the care of hospitalized children.
304	2005	Concerns the performance of the nurse in the collection of blood from the umbilical and placental cord.
326	2008	Authorizes the autonomous use of acupuncture by a nurse in his/her professional practice, after the approval of his/her specific technical qualification by the Cofen.
385	2011	Regulates the performance, by the nurse, of the collection of material for oncologic colpocytology through the pap smear method.
388	2011	Regulates the performance, by the nurse, of venous access through umbilical catheterization.
423	2012	Regulates, within the scope of the Cofen system/regional nursing councils, the participation of the nurse in the activity of classification of risks.
468	2014	Concerns the performance of the nurse in genetic counseling.
477	2015	Concerns the performance of nurses in care for pregnant, parturient and puerperal women.

Federal Nursing Council (Cofen) Resolution number	Year	Management and administrative aspects related to health care in nursing
194	1997	General management of health units by nurses.
266	2001	Approves the activities of the nurse auditor.
293	2004	Fixes and establishes parameters for the dimensioning of the nursing team in healthcare units of health institutions and similar.
303	2005	Concerns the authorization for the nurse to assume the coordination, as technical manager, of the waste management plan of health services – PGRSS.
311	2007	Approves the Reformulation of the Ethics Code of nursing professionals.
424	2012	Regulates the attributions of the nursing professionals in material and sterilization centers (CME) and in healthcare products processing companies.
429	2012	Concerns the recording of professional practices in the patient record, and in other documents pertinent to nursing, independently of the media used - traditional or electronic.
447	2013	Approves and adopts the manual of procedures for standardization of care routines for nursing professionals.
458	2014	Regulates the conditions for recording of technical responsibility by the nursing service and defines the attributions of the technician nurse manager.
478	2015	Regulates the performance and civil responsibility of the obstetrician nurse in birth centers and provides other measures.

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] ORRESPONDING AUTHOR: Selma Regina de Andrade. E-mail: selma.regina@ufsc.br