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.