QUAL É A DIFERENÇA? | DE ACORDO COM A LEI N 7.498/86 - Regulamentação do exercício da Enfermagem
Summary
TLDRThis video explains the differences between a nurse, nursing technician, and nursing assistant based on Brazilian Law No. 7,498 from 1986, which regulates nursing practices. It details the qualifications required for each role, including nurses, obstetric nurses, technicians, and midwives, and outlines their respective responsibilities. The video highlights the exclusive duties of nurses, such as leading nursing teams, providing complex care, and making critical decisions. It also discusses the scope of activities for nursing technicians and assistants, emphasizing their roles under the supervision of nurses in healthcare settings.
Takeaways
- 😀 Nurses are professionals with a diploma in nursing or obstetrics, recognized by Brazilian or foreign institutions, registered according to the law.
- 🩺 Nursing technicians hold a diploma or certificate in nursing issued by competent bodies and work in a supporting role to nurses.
- 👩⚕️ Nursing assistants are certified individuals who perform repetitive and simpler tasks under the supervision of nurses.
- 👶 Midwives are professionals certified in obstetrics, recognized by Brazilian law or foreign agreements.
- 🏥 Nurses have exclusive responsibilities like managing nursing departments in healthcare institutions and overseeing nursing staff.
- 📋 Nurses are involved in planning, organizing, coordinating, and evaluating nursing services in both public and private healthcare settings.
- 💊 Nurses can prescribe medications as part of public health programs and approved institutional protocols.
- 🔍 Nurses provide direct care for patients with life-threatening conditions and handle complex medical situations requiring scientific knowledge.
- 🩻 Nursing technicians participate in nursing care planning and assist with procedures that are not exclusive to nurses.
- 🧑⚕️ Nursing assistants help with basic care tasks like hygiene, patient comfort, and recognizing symptoms, always under the supervision of nurses.
Q & A
What is the legal framework governing the roles of nurses, nursing technicians, and nursing assistants in Brazil?
-The roles of nurses, nursing technicians, and nursing assistants are regulated by Law No. 7.498 from 1986, which outlines the scope of practice and activities for each position.
Who is considered a nurse according to Brazilian law?
-According to Article 6 of Law No. 7.498, a nurse is someone who holds a diploma in nursing or obstetrics, or an equivalent diploma validated in Brazil, issued by a recognized institution.
What are the exclusive activities that only nurses can perform?
-Only nurses can perform certain activities such as directing nursing departments in healthcare institutions, leading nursing services, planning and evaluating nursing care, consulting, prescribing nursing care, and providing direct care to critically ill patients.
What are the responsibilities of a nursing technician?
-A nursing technician is responsible for medium-level activities, including assisting in nursing care, participating in planning nursing services, and executing nursing actions, except for those exclusively reserved for nurses.
Who is considered a nursing assistant, and what do they do?
-A nursing assistant holds a certificate from a recognized institution and performs repetitive, supportive nursing tasks under supervision, such as observing symptoms, providing basic care, and assisting in simple treatments.
What is the role of a midwife in Brazilian healthcare according to the law?
-A midwife is a certified professional responsible for assisting normal deliveries, identifying obstetric complications, and taking necessary actions until a doctor arrives. They may also perform procedures like episiotomy and episiorrhaphy.
What can nurses do as part of the healthcare team that other professionals cannot?
-Nurses, as part of the healthcare team, can prescribe medication within public health programs, oversee infection control, participate in hospital design projects, and provide nursing care during labor and delivery.
What level of education is required for a nursing technician in Brazil?
-A nursing technician must have a diploma or certificate from a recognized educational institution in accordance with Brazilian law, validating their qualification as a medium-level healthcare professional.
How do the activities of nursing assistants differ from those of nursing technicians?
-Nursing assistants perform more basic and repetitive tasks under supervision, while nursing technicians have a broader scope, including assisting in planning and supervising nursing care, though they cannot perform tasks exclusively reserved for nurses.
Where can nursing technicians and assistants practice their profession?
-Nursing technicians and assistants can practice in public and private healthcare institutions, as well as in health programs, but their activities must always be carried out under the supervision and guidance of a nurse.
Outlines
💡 Understanding the Roles in Nursing: Nurse, Technician, and Assistant
This paragraph addresses common questions about the different roles within nursing: nurse, nursing technician, and nursing assistant. It highlights the need to clarify the differences between these roles based on the legal framework, particularly Law No. 7,498 from 1986, which regulates nursing practices in Brazil. The paragraph introduces the topics to be discussed, including the exclusive tasks nurses can perform, the responsibilities of each role, and where these activities are carried out.
🎓 Defining a Nurse: Qualifications and Legal Framework
This section explains who qualifies as a nurse according to Article 6 of the law. A nurse must hold a diploma from an accredited institution. Additionally, foreign diplomas in obstetrics or nursing must be registered in accordance with cultural exchange agreements or revalidated in Brazil. The paragraph also acknowledges those who earned their nursing titles under specific regulations, such as the 1961 Decree.
📜 Defining a Nursing Technician: Qualifications and Legal Criteria
According to Article 7, a nursing technician is someone with a diploma or certificate granted under proper legislation. This includes foreign credentials revalidated in Brazil. The paragraph explains the technician's educational requirements, ensuring that their certification meets the standards set by Brazilian laws or through international exchange agreements.
📜 Defining a Nursing Assistant: Qualifications and Legal Standards
This paragraph defines nursing assistants as professionals who hold a certificate granted by an institution, in line with Article 8. Similar to technicians, foreign certifications must be revalidated in Brazil. The text briefly mentions individuals with practical nurse certificates from the past and provides legal context for their qualifications.
👩🍼 Defining a Midwife: Legal and Educational Requirements
According to Article 9, midwives are professionals with certifications recognized under Brazilian law, specifically referencing regulations from 1946 and 1959. The paragraph also notes that midwife certifications from foreign institutions must be revalidated in Brazil, offering a timeline for when these validations must occur to be recognized.
🔐 Exclusive Responsibilities of a Nurse
This part discusses the exclusive tasks that only nurses are authorized to perform, as stated in Article 11. These include managing nursing departments, directing nursing services, and overseeing technical and auxiliary nursing activities within public and private healthcare institutions. It also emphasizes the leadership roles that nurses hold in these settings.
⚕️ Key Responsibilities of a Nurse in Health Teams
As a member of a healthcare team, the nurse participates in planning, executing, and evaluating health programs. Nurses also help design and assess healthcare plans and prescribe medications within public health programs. Additionally, nurses are involved in infection prevention and control, supporting pregnant women during childbirth, and providing general health education.
📊 The Role of a Nursing Technician
Under Article 12, a nursing technician’s role involves mid-level activities, including supporting and supervising auxiliary nursing tasks and participating in nursing care planning. The technician also performs nursing actions that do not require the expertise of a nurse, as well as assisting in the overall healthcare team.
🩺 The Role of a Nursing Assistant
Article 13 outlines the responsibilities of a nursing assistant, who performs routine, auxiliary tasks under the supervision of a nurse. These tasks include basic care like hygiene and comfort for patients, recognizing symptoms, and performing simple treatments. The paragraph also highlights the role of nursing assistants in the healthcare team.
🏥 Supervision and Work Context of Nursing Technicians and Assistants
The final paragraph explains that nursing technicians and assistants can only perform their duties in public or private healthcare institutions under the supervision of a nurse. This includes both general healthcare settings and specific health programs, ensuring their activities are properly guided.
Mindmap
Keywords
💡Enfermeiro
💡Técnico de Enfermagem
💡Auxiliar de Enfermagem
💡Parteira
💡Atividades privativas do enfermeiro
💡Planejamento da assistência de enfermagem
💡Consulta de enfermagem
💡Assistência ao parto
💡Supervisão do trabalho de enfermagem
💡Prevenção de infecções hospitalares
Highlights
The differences between nurse, nursing technician, and nursing assistant are explained according to Law No. 7,498 of 1986, which regulates the practice of nursing in Brazil.
A nurse is defined as someone who holds a nursing degree from an accredited institution, including midwifery certifications, or a foreign diploma validated in Brazil.
Nursing technicians are individuals with a technical nursing diploma, recognized by the relevant authority, including foreign diplomas validated in Brazil.
Nursing assistants are those who hold a nursing assistant certificate from an accredited institution or a validated foreign certificate.
Midwives are defined as those with a certificate as outlined in specific decrees, including foreign certifications validated in Brazil.
Only nurses have the exclusive right to lead nursing departments, manage nursing services, and direct technical and auxiliary activities in healthcare institutions.
Nurses are responsible for planning, coordinating, executing, and evaluating nursing services, as well as consulting, auditing, and providing nursing opinions.
Nurses can prescribe nursing care, provide direct care to critically ill patients, and handle complex procedures that require scientific knowledge and immediate decision-making.
As part of the healthcare team, nurses participate in planning, implementing, and evaluating healthcare programs, including the prescription of medications in public health programs.
Nurses are involved in the systematic prevention and control of hospital infections and communicable diseases, and in overseeing patient safety during nursing care.
Nurses provide care to pregnant women, assist with childbirth, and can perform episiotomies and episiorrhaphy under certain conditions.
Nursing technicians support nursing care by performing non-exclusive nursing activities, participating in planning, and supervising auxiliary work under a nurse's supervision.
Nursing assistants perform repetitive, supportive tasks under a nurse's supervision, such as observing and reporting symptoms, executing simple treatments, and providing patient comfort.
The law mandates that nursing technician and assistant activities in healthcare institutions must be performed under the guidance and supervision of a nurse.
The video provides a comprehensive breakdown of the legal definitions and roles of different nursing professionals, clarifying their responsibilities and the scope of their practice.
Transcripts
Quais são as diferenças entre enfermeiro
técnico de enfermagem e auxiliar de
enfermagem essa é uma dúvida comum e que
sempre marca presença quando estamos
falando sobre enfermagem Então vamos
responder lá da melhor maneira de acordo
com a lei de número
7.498 lá de
1986 que dispõe sobre a regulamentação
do exercício da enfermagem e da outras
providências Então nesse vídeo nós vamos
falar sobre quem é o Enfermeiro Quem é o
técnico quem é o auxiliar quem é a
Parteira o que só o Enfermeiro pode
fazer que são as atividades privativas
do enfermeiro o que o Enfermeiro pode
fazer como integrante da equipe de saúde
as atividades do técnico de enfermagem
as atividades do auxiliar de enfermagem
e onde Essas atividades são exercidas
vamos lá
[Música]
quem é o Enfermeiro de acordo com o
artigo 6º são enfermeiros os titulares
de diploma de enfermeiro conferido por
instituição de ensino nos termos da lei
O titular do diploma ou certificado de
Obstetrícia ou de enfermeiro obstétrica
conferidos nos termos da Lei e também o
titular de diploma ou certificado de
enfermeira e a titulado diploma ou
certificado de enfermeiro obstétrica ou
de Obstetrícia ou equivalente conferido
por escola estrangeira segundo as leis
do país registrado em virtude de acordo
de intercâmbio cultural ou revalidado no
Brasil como diploma de enfermeiro e de
enfermeiro obstétrica ou Obstetrícia
também temos os casos daqueles que não
abrangidos pelos incisivos anteriores
obtiverem o título de enfermeiro
conforme o disposto na linha de do
artigo 3º do Decreto
50387 de 28 de março de 1961 e Quem é o
técnico de acordo com o artigo sétimo
são técnicos de enfermagem O titular do
diploma ou do certificado de técnico de
enfermagem expedido de acordo com a
legislação e registrado pelo órgão
competente o titulado diploma ou do
certificado legalmente conferido por
escola ou curso estrangeiro registrado
em virtude de acordo de intercâmbio
cultural ou revalidado no Brasil como um
diploma de técnico de enfermagem quem é
o auxiliar de acordo com o artigo 8º são
auxiliares de enfermagem O titular do
certificado de auxiliar de enfermagem
conferido por instituição de ensino nos
termos da Lei e registrado no órgão O
titular do diploma ou certificado
conferido por escola ou curso
estrangeiro segundo as leis do país
registrado em virtude de acordo ou de
intercâmbio cultural ou revalidado no
Brasil como certificado de auxiliar de
enfermagem o que não se enquadra nessas
duas condições por exemplo os
profissionais com certificado de
enfermeiro prático né que acontecia no
passado está descrito aqui na tela e
quem é a Parteira de acordo com o artigo
9º são parteiras a titular de
certificado previsto no artigo primeiro
do Decreto Lei de número
8.778 de 22 de janeiro de 1946 observado
disposto na lei de número
3.640 de 10 de outubro de
1959 e é titulado diploma ou certificado
de Parteira ou equivalente transferido
por escola o curso estrangeiro segundo
as leis do país registrado em virtude de
intercâmbio cultural ou revalidado no
Brasil até dois anos após a publicação
dessa lei como certificado de partira e
o que só o Enfermeiro pode fazer Quais
são as atividades privativas do
enfermeiro de acordo com o artigo décimo
primeiro o Enfermeiro exerce todas as
atividades de enfermagem
cabendo-lhe privativamente ou seja só
ele pode fazer a direção do órgão de
enfermagem integrante da estrutura
básica da instituição de saúde pública e
privada e chefia de serviço e de unidade
de enfermagem B organização e direção
dos serviços de enfermagem e de suas
atividades técnicas e auxiliares nas
empresas prestadoras desse serviço
C planejamento organização coordenação
execução e avaliação do serviços da
assistência de enfermagem
H consultoria auditoria e emissão de
parecer sobre matéria de enfermagem e
consulta de enfermagem J prescrição da
assistência de enfermagem L cuidados
diretos de enfermagem a pacientes graves
com risco de vida m cuidados de
enfermagem de maior complexidade técnica
e que exijam conhecimentos de base
científica e capacidade de tomar
decisões
imediatas e o que o Enfermeiro pode
fazer como integrante da equipe de saúde
como integrante da equipe de saúde a
participação no planejamento execução e
avaliação da programação saúde B
participação na elaboração execução e
avaliação dos planos assistenciais de
saúde C prescrição de medicamentos
estabelecidos em programas de saúde
pública e em rotina aprovada pela
instituição de saúde de participação em
projetos de construção ou reforma de
unidades de internação e prevenção e
controle sistemático da infecção
hospitalar e de doenças transmissíveis
em geral F prevenção e controle
sistemático de danos que possam ser
causados a clientela durante assistência
de enfermagem G assistência de
enfermagem a gestante parto Oriente E
puérpera H acompanhamento da evolução e
do trabalho de parto e execução do parto
sem distorcia j educação utilizando a
melhoria de saúde da população e temos o
parágrafo único também as profissionais
referidas no inciso segundo do artigo 6º
dessa lei incumbi ainda a assistência
patruliente ao parto normal a
identificação das distorcias obstétricas
e tomadas de providências até a chegada
do médico e a realização de episiotomia
e episiorrafia e aplicação de anestesia
local quando necessária as atividades do
técnico de enfermagem de acordo com o
artigo de número décimo segundo o
técnico de enfermagem exerce atividade
de nível médio envolvendo orientação e
acompanhamento do trabalho de enfermagem
em grau auxiliar e a participação no
planejamento da assistência de
enfermagem cabendo ele especificamente
primeiro participar da programação da
assistência de enfermagem segundo
executar as ações assistenciais de
enfermagem exceto as privativas do
enfermeiro que nós acabamos de mencionar
tá observando o disposto no parágrafo
único do artigo décimo primeiro dessa
lei terceiro participar da orientação e
supervisão do trabalho de enfermagem em
grau auxiliar e quarto participar da
equipe de saúde as atividades do
auxiliar de enfermagem artigo número 13º
o auxiliar de enfermagem exerce
atividade de nível médio de natureza
repetitiva envolvendo serviços
auxiliares de enfermagem sobre
supervisão bem como a participação em
nível de execução simples em processo de
tratamento
cabendo-lhe especifica primeiro observar
reconhecer e descrever sinais e sintomas
segundo executar ações de tratamento
simples terceiro prestar cuidados de
higiene e conforto ao paciente quarto
participar da equipe de saúde e onde
Essas atividades são exercidas as
atividades referidas nos artigos 12 e 13
dessa lei quando exercidas em
instituições de saúde públicas e
privadas e em programas de saúde somente
podem ser desempenhadas Sob orientação e
supervisão de um Enfermeiro
[Música]
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