QUAL É A DIFERENÇA? | DE ACORDO COM A LEI N 7.498/86 - Regulamentação do exercício da Enfermagem

Enfermundo - O mundo da enfermagem

5 Jan 202310:02

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

00:00

💡 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.

05:02

🎓 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

An 'Enfermeiro' (nurse) is a healthcare professional with a diploma in nursing, recognized under Brazilian law. They are responsible for managing nursing services and overseeing the care of critically ill patients. In the video, the term is used to distinguish between the roles of nurses and other healthcare staff, highlighting the unique responsibilities that only nurses can perform.

💡Técnico de Enfermagem

A 'Técnico de Enfermagem' (nursing technician) is a professional who holds a mid-level degree in nursing and works under the supervision of a nurse. They are involved in various care tasks but cannot perform the activities exclusive to nurses. The video emphasizes their role in assisting nurses, participating in patient care, and observing medical protocols.

💡Auxiliar de Enfermagem

An 'Auxiliar de Enfermagem' (nursing assistant) is responsible for providing basic patient care and assisting with hygiene and comfort. Their tasks are repetitive and supervised by higher-level nursing staff. The script explains that these professionals help execute simple care activities and support the nursing team.

💡Parteira

A 'Parteira' (midwife) specializes in assisting childbirth. They must hold a certificate or diploma recognized by law and may perform certain medical procedures, like managing labor and conducting deliveries in uncomplicated cases. The video explains the qualifications required to be a midwife and their role in supporting maternal care.

💡Atividades privativas do enfermeiro

'Atividades privativas do enfermeiro' refers to the exclusive activities that only a registered nurse can perform, such as managing nursing services, providing care to critically ill patients, and making critical healthcare decisions. The video outlines these activities as an important distinction between nurses and other nursing staff.

💡Planejamento da assistência de enfermagem

The 'Planejamento da assistência de enfermagem' (nursing care planning) involves organizing and coordinating healthcare services to meet patient needs. Nurses play a key role in developing and executing these plans. The video mentions how both nurses and nursing technicians contribute to planning patient care.

💡Consulta de enfermagem

'Consulta de enfermagem' (nursing consultation) is a nurse-led patient assessment aimed at determining the appropriate care required. This includes diagnosis, prescription of care, and evaluating patient health. The video explains that this task is an exclusive function of the nurse.

💡Assistência ao parto

'Assistência ao parto' (assistance in childbirth) refers to the medical and nursing support provided during labor and delivery. Both nurses and midwives play a crucial role in ensuring the safety of the mother and child. The video discusses the nurse’s ability to assist in normal deliveries, with a focus on non-complicated births.

💡Supervisão do trabalho de enfermagem

'Supervisão do trabalho de enfermagem' (supervision of nursing work) is the responsibility of nurses to oversee the activities of nursing technicians and assistants. The video highlights the importance of supervision to ensure that tasks are performed correctly and within legal guidelines.

💡Prevenção de infecções hospitalares

'Prevenção de infecções hospitalares' (prevention of hospital infections) refers to the systematic measures taken by nursing staff to control and prevent the spread of infections in healthcare settings. Nurses are involved in developing and enforcing these protocols, as mentioned in the video.

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.