| Orthopedic procedures |
Nursing care in orthopedics and procedures related to orthopedic immobilization. |
No. 422/2012 |
It regulates the work of nursing professionals in orthopedic care and orthopedic immobilization procedures. |
- |
| Opening offices and clinics |
Opening offices and clinics in various areas of nursing. |
No. 568/2018 |
Approves the regulations for nursing offices and nursing clinics. |
- |
| Assistance in the process of organ and tissue donation for transplants |
Assistance in organ and tissue donation for transplantation, nursing care for the donor and recipient in the perioperative period of organ and tissue transplantation. |
No. 611/2019 |
Updates the rules regarding the nursing team’s work in organ and tissue donation for transplants and makes other provisions. |
- |
| Intraosseous puncture |
Intraosseous puncture, in urgent and emergencies, if it is impossible to obtain peripheral venous access. |
No. 648/2020 |
Provides for the standardization, training, and performance of nurses in performing intraosseous punctures on adults and children in preand in-hospital urgency and emergencies. |
- |
| Supervision/Coordination |
Action taken by the nurse in front of a team and sector. |
No. 303/2005 |
Provides authorization for nurses to take on the role of technical coordinator of the health service waste management plan (PGRSS). |
Administrative Activities |
| No. 424/2012 |
It regulates the duties of nursing professionals in material and sterilization centers (CME) and health product processing companies. |
| No. 571/2018 |
Authorizes the occupational nurse to fill out, issue, and sign the biological monitoring report provided for in the social security professional profile (PPP). |
| No. 620/2019 |
Regulates the duties of nursing professionals in long-term care institutions for the elderly. |
Administrative activities // Nursing process
|
| No. 678/2021 |
Approves the work of the nursing team in mental health and psychiatric nursing. |
Administrative activities // Nursing process |
| No. 656/2020 |
It regulates the role of nurses in the direct assistance and management of mobile pre-hospital care and in-hospital care by air vehicle. |
Administrative activities // First aid |
| Specialized Consulting |
Advice, planning, diagnosis, proposals for regulations, flows, monitoring, control, and follow-up of projects. |
No. 468/2014 |
Provides for the work of nurses in genetic counseling. |
Administrative Activities |
| No. 556/2017 |
Regulates the activity of forensic nurses in Brazil and makes other provisions. |
| Technical Responsibility |
Nursing professional at a higher level who is responsible for planning, organizing, directing, coordinating, executing, and evaluating nursing services and who is granted ART by the Regional Nursing Council. |
No. 509/2016 |
Updates the technical standard for noting technical responsibility for the nursing service and defines the duties of the nurse in charge. |
Administrative Activities |
| Technical opinion for accreditation/qualification |
An administrative act deriving from binding police power in which the Regional Nursing Council, as the body that oversees professional practice, grants, based on the fulfillment of legal requirements, a license to the nurse in charge to act as a link between the company’s/institution’s Nursing Service and the Regional Nursing Council, to facilitate the exercise of supervisory activity about the nursing professionals who carry out their activities there, as well as promoting the quality and development of nursing care in its technical, ethical and safe aspects for society and nursing professionals. |
| Accompanying and assisting normal childbirth without dystocia |
Action taken by obstetric nurses and midwives. |
No. 439/2012
|
Provides for the compulsory registration of the title of specialist in obstetric nursing and makes other provisions. |
Childbirth and newborn care
|
| No. 440/2013 |
Provides for the enrollment and registration of midwives and other measures. |
| No. 627/2020 |
Standardizes the performance of obstetric ultrasound by obstetric nurses. |
| Accompanying and assisting normal childbirth with spinal surgery and the application of anesthesia by professional practice |
Action taken by obstetric nurses and midwives. |
No. 516/2016 |
It regulates the work and responsibility of nurses, obstetric nurses, and midwives in the care of pregnant women, parturients, puerperal women, and newborns in obstetric services, normal delivery centers and birthing centers, and other places where this care takes place; establishes criteria for registering titles of obstetric nurses and midwives within the scope of the Cofen/Regional Nursing Councils system, and makes other provisions. |
Childbirth and newborn care
|
| No. 627/2020 |
Standardizes the performance of obstetric ultrasound by obstetric nurses. |
| Postpartum/breastfeeding care |
Action taken by obstetric nurses and midwives. |
No. 547/2017 |
To standardize the nurse’s role in collecting umbilical cord and placental blood. |
Childbirth and newborn care |
| Operating perfusion equipment |
Action carried out by the Perfusion Nurse, acting as a surgical team member. |
No. 667/2021 |
Updates the standards for perfusion nurses. |
Surgical Support |
Take a sample of
arterial blood |
A trained nurse carries out the procedure. |
No. 390/2011 |
It regulates how nurses should perform arterial punctures for blood gas analysis and invasive blood pressure monitoring. |
Meeting oxygenation and circulation needs |
| Aspirate the upper airways, observing the secretion and cardiopulmonary auscultation characteristics. |
Severe patients undergoing orotracheal intubation or tracheostomy in emergency, intensive, semi-intensive, or intermediate care units or other care units should have their airways suctioned by a nurse. |
No. 557/2017 |
It regulates the nursing team’s role in the airway aspiration procedure. |
Meeting oxygenation and circulation needs |
| Aspirate tracheostomy/OTT (orotracheal tube) with observation of secretion characteristics and cardiopulmonary auscultation. |
| Performing installation and general care of ventilatory assistance devices |
Carrying out installation and general care of mechanical ventilatory assistance devices. |
No. 639/2020 |
Provides for nurses’ competencies in caring for mechanically ventilated patients in out-of-hospital and in-hospital environments. |
Meeting oxygenation and circulation needs |
| Performing installation and general care of mechanical ventilatory assistance devices |
| Dressing the tracheostomy ostium with or without changing the lace |
| Carrying out tracheostomy sub-cannula orientation and cleaning |
|
|
|
|
| Perform irrigation and cleaning of tracheostomy fluidization of secretions. |
| Assembling and testing artificial ventilators |
| Administering oral feeding to patients |
Administering nutrition, installing, and general control of the food system. |
No. 453/2014 |
Approves the technical standard on the role of the nursing team in nutritional therapy. |
Meeting nutritional needs |
| Cleaning and care instructions for gastrostomy tubes |
| Installation, control, and general care of parenteral feeding systems |
| Installation, control, and general care of enteral feeding systems |
| Inserting or removing naso/orogastric and naso/enteric tubes |
Administering nutrition, installing, and general control of the food system. |
No. 619/2019 |
Regulates the role of the nursing team in oro/nasogastric and gastroenteric probing |
| Insertion of relief or delayed bladder catheter |
Help with your disposal needs. |
No. 450/2013 |
Regulates the bladder catheterization procedure within the scope of the Cofen / Regional Nursing Councils system. |
Meeting disposal needs |
Swapping devices
external urinary tract |
| Bladder and bladder catheter irrigation (open/closed) |
Performing
small |
I am assessing, prescribing, and performing dressings on all types of wounds on patients and coordinating and supervising the nursing team in preventing and caring for people with wounds. |
No. 567/2018 |
Regulates the work of the nursing team in caring for patients with wounds. |
Meeting cutaneomucosal needs |
Performing
medium-sized |
Performing
Large size |
| Changing stoma dressings and bags |
| Bandaging in its various applications |
| Removing surgical stitches |
| Perform conservative instrumental debridement (small lesion) |
| Perform conservative instrumental debridement (medium lesion) |
| Perform conservative instrumental debridement (grid lesion) |
Apply Unna boot, compressive therapy, and
Contensive |
| Use adjuvant therapies to treat small/medium/large wounds, such as low-intensity laser, ultrasound, negative pressure, and ozone therapy. |
| Performing podo prophylaxis (preventive and therapeutic care of the feet and nails) |
| Esculectomy in cases of onychocryptosis (ingrown toenail) |
| Photodynamic therapy for onychomycosis |
|
|
|
|
Follow up
hyperbaric assistance |
| Administer/monitor blood products. |
Administration of blood components/derivatives. |
No. 511/2016 |
Approves the technical standard on the work of nurses and nursing technicians in hemotherapy. |
Meeting diagnostic and therapeutic needs |
| No. 629/2020 |
Approves and updates the technical standard on the work of nurses and nursing technicians in hemotherapy. |
| Installation of chemotherapy |
Assistance provided by nursing professionals to patients undergoing antineoplastic chemotherapy treatment in hospital and outpatient settings. |
No. 569/2018 |
Approves the technical regulations for the work of nursing professionals in antineoplastic chemotherapy. |
| Control and care of chemotherapy drugs |
Monitoring active and
Passive/walking/
walking, and changing position |
The nursing team carries out patient care in the hospital environment. |
No. 376/2011 |
Provides for the participation of nursing staff in transporting patients within health services. |
Meeting mobility needs |
| No. 588/2018 |
It updates and standardizes the nursing team’s work in transporting patients within healthcare services. |
|
| Conduct nursing consultations (history, physical examination, diagnosis, prescription, and nursing evolution). |
Nurses’ assistance when carrying out the nursing process in general. |
No. 358/2009 |
Provides for the systematization of nursing care and the implementation of the nursing process in environments, public or private, in which professional nursing care takes place, and makes other provisions. |
Nursing Process |
| No. 634/2020 |
Authorizes and regulates, “ad referendum” of the Cofen plenary, nursing teleconsultation as a way to combat the pandemic caused by the new coronavirus (Sars-CoV-2) through consultations, clarifications, referrals, and guidance using technological means, and makes other arrangements. |
| Carry out nursing consultations with women who have undergone oncotic cytology. |
Nurses’ assistance when carrying out the nursing process in women’s health. |
No. 381/2011 |
It regulates how nurses perform Pap smears. |
Nursing Process |
| No. 385/2011 |
Amends the initial term of validity of Cofen Resolution No. 381, of July 18, 2011, which standardizes the performance by nurses of Pap smears. |
| Risk Classification |
Nurses’ assistance when carrying out the nursing process in risk classification. |
No. 661/2021 |
Updates and standardizes, within the scope of the Cofen/Regional Nursing Councils system, the participation of nurses in risk classification activities. |
Nursing Process |
| Perform acupuncture |
Acupuncture is a therapy that applies fine needles to specific points on the body to improve immunity and help treat illnesses. |
No. 326/2008 |
Regulates the activity of acupuncture in the Cofen/Corens system and provides for specialty registration. |
Alternative and complementary therapies |
| No. 585/2018 |
Establishes and recognizes acupuncture as a specialty and qualification for nursing professionals. |
| Performing body and facial lymphatic drainage |
Specialist nurses carry out aesthetic procedures. |
No. 529/2016 |
Regulates the work of nurses in the field of aesthetics. |
Aesthetics |
| Electrotherapy |
No. 626/2020 |
Amends Cofen Resolution no. 529 of November 9, 2016, which deals with the work of nurses in the field of aesthetics and makes other provisions. |
| Ultrasound |
|
|
| Intermediate Assistance |
|
No. 427/2012 |
Standardizes nursing procedures in the use of mechanical restraint of patients. |
Monitoring and follow-up |
| Intensive Care |
|
No. 551/2017 |
It standardizes the nurse’s role in mobile pre-hospital and in-hospital care by air vehicle. |
| First aid in special operations |
Nurses provide pre-hospital care. |
No. 641/2020 |
Nurses use extra-glottic devices and other procedures to access the airway in urgent and emergency situations, in intra-hospital and pre-hospital environments. |
First Aid |
| No. 655/2020 |
Standardizes “ad referendum” of the Cofen plenary, until further notice, the work of nursing professionals in mobile, land, and waterway pre-hospital care, whether in direct assistance or the emergency regulation center. |
First aid/ Surveillance and monitoring |
| No. 679/2021 |
Approves the standardization of ultrasound at the bedside and in the pre-hospital environment by nurses. |
First aid/ Surveillance and monitoring |
| Home care (evaluation, monitoring, and educational actions) |
Home nursing care includes actions carried out in the person’s home to promote their health, prevent illnesses, and treat diseases, as well as rehabilitation and palliative care. |
No. 464/2014 |
Regulates the work of the nursing team in-home care. |
Home care |
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Source: Authors (2022).