Regional Advice
The decree N 50,387, of 28 of March of 1961, that it regulates the Law n 2604/1955, of the professional exercise of the nursing, makes use: Art.14, interpolated proposition C ' ' they are duties of all the nursing staff: to keep perfect notation in papeletas clinical of everything how much to become related with the patient and the nursing. Meanwhile, the decree n. 94.406, of 08 of June of 1987, that it regulates the Law n. 7.498, of 25 of June of 1986, that it makes use on the nursing exercise, in its art.11, interpolated proposition II, detach that: ' ' the nurse aid must execute the activities auxiliary of average level attributed to the nursing team, fitting to it to observe, 8 to recognize and to describe the signals and symptoms that the patient presents, to the level of its qualificaes' '. Art.14, interpolated proposition II, tell to the incumbency all the staff of nursing of the necessity to write down in the handbook of the patient all the activities of nursing assistance. Legal aspects of the Notations Know that the register of the relative information to the patient is a legal obligation is defined and normatizada for the Regional Advice of Enfermagem (COREN), and in such a way constitutes a form of protection and guarantee for the customer as for the hospital company. Each registered information indicates an action, that certainly was unchained in direct reason of a problem presented for the patient and of the treatment excused it (DUARTE 1976). According to Possari (2005, p.138) ' ' the nursing notation is to have of all the professionals of the nursing team, as the legal disposals for the exercise of enfermagem' '. These notations say in agreement respect this author: sociocultural and psicofsicos, well-taken care of data of the identification of the patient, aspects given, results of the systemize comment, without exageros and omissions how much to the evolution of the illness, as well as any occured intercorrncias with the patient.
