This work is result of experience of implantation the innovation proposal this way to be present in Public Instituition nurse administrate, where to take off the bandage the way of nursing 90 years. The mark is interdisciplinarity work, in constant to do learning, which administration is light and flexible. The assistance is orienting by projects, where is contained programs who to follow the philosoply of "Reforma Sanitária", it is integrated in "System Unificated Descentralized of Health".