The necessities human beings are organized in levels and a hierarchy of importance that according to pyramid of Maslow presented below in picture 1 describes this level of necessity: Hierarchy of MASLOW necessities Picture 1: Source: Wikipdia, the free encyclopedia. Pyramid of MASLOW Maslow defended that the individuals if felt motivated to satisfy its imperative necessity in a period of its lives, thus in its model of theory the first necessity to be carried through would have to be of the physiology that the individual carrying through its basic necessities would appear another one in its place having thus arrived to reach the last one that it is of auto-accomplishment, but the same believed that this hierarchy of necessity would not be applied to all. According to NUNES, Walber (2008), it describes in one of its works that ' ' The theory of Maslow corresponds to the trivial necessities of the human being for survival, however it does not establish systems which people can reach and later evolving of fase' '. Some people to reach physiological necessities and of security already are part of a personal and professional auto-accomplishment. The concept to supply wills can vary very, according to author in accordance with the reality of the world contemporno appears to the necessity of a new hierarchy of the necessities presented in picture 2: Au Auto-Accomplishment Physiological Necessities Ne Necessities of Security Physiological Necessities Social Necessity/Social Necessity NecNecessidades de Estima/Necessity of Esteem Picture 2 New pyramid of the necessities Source: NUNES, Walber. Reformularization of the theory of Maslow published in 27 of August of 2008. In accordance with the NUNES (2008) the human being needs esteem so that it can auto-value itself, to recognize its potential and power to motivate other individuals. Thus following the order of the necessities arriving it finishes it that it is the auto-accomplishment, reaching the capacity of full evolution of systems, feelings, processes productive and mainly of our capacity to think of the current world.

If to imagine that the sectors of bigger cost are those that possess patients in more critical clinical state, we will be able to understand the origin of a great majority of comments: the health professionals if withhold in the direct care the customer. However, although to recognize the importance of this care, the health service cannot lose 3 financially, therefore on the correct payment of the procedures the financial health of the institution depends. The practical one of the invoicing discloses that the nursing registers are the main generators of comments in hospitals, since this group must register services and materials used in the treatment of the patient. In this process, the nursing notations if become complex and finish consequentemente generating incorrect interpretations and, the comments. My experience in the invoicing sector leads to the agreement of that the nursing does not know the importance of its notations for the collection correct of the procedures. This judgment motivated the interest on the basis of to consider a protocol of orientation of fulfilling of the handbook the norms of the accords of the hospital where this study will be developed and in the comments more frequent detected. LITERATURE REVISION the handbook of the patient, theoretically complete, brings all the information to nullify any doubt that porventura appears how much to the procedures carried through in the assistance to the patient.

When correctly filled in legible letter, duly signed and stamped, it is and it has been the main document of defense of the team of health in the cases of denunciations for bad attendance with indications of ineptitude, imprudence or recklessness (POSSARI, 2005,). In this direction, they are purposes of the handbook: the diagnosis attainment aiming at bigger rapidity and efficiency in the treatment, making possible the communication between different teams. With regard to the hospital, the handbook has the purpose of: to reduce the improper equipment use services, to protect the accusation hospital possible on the part of customers, to favor greater profitability for the hospital. Tony Parker contributes greatly to this topic.