WORK PROCESS OF NURSES IN EMERGENCY REGULATION CENTERS IN RN: KNOWLEDGE, COMPETENCIES AND ATTRIBUTIONS.
healthcare regulation; emergency regulation; emergency regulation
centers; nursing.
The regulation of emergencies in Brazil is an essential process for organizing access to healthcare services, ensuring equity and efficiency in resource allocation and patient care. Structured by policies such as the Pact for Health (2006) and the National Regulation Policy (2008), regulation is divided into different levels and
operates through central offices responsible for regulating emergencies, hospitalizations, and specialized consultations. In Rio Grande do Norte, there are three Emergency Regulation Centers linked to the state and municipal SAMUs, in addition to the Central Access to Hospital Doors (CAPH), which manages secondary
regulations. The nurse plays a crucial role in this process, being responsible for triage, coordination of care, and optimizing the care flow. However, despite the growing involvement of these professionals, the legislation that regulates the Emergency Regulation Centers has not kept pace with this evolution, resulting in gaps in defining their roles and responsibilities. There is an outdated aspect in the regulations regarding the competencies of the members of this multiprofessional am, as the actual daily work being done is not reflected in the legislation. The regulation that governs this service limits the team to only three professional categories: medical regulation assistant, radio operator, and regulatory physician. This descriptive and exploratory study, with a qualitative approach, investigates the role of nurses in emergency regulations in the state of Rio Grande do Norte, analyzing challenges, specificities, and contributions of these professionals within the healthcare system. The research will be conducted in the Emergency Regulation Centers (CRUs) of RN, excluding Mossoró due to the absence of nurses in the regulation process. The participants include active nurses and coordinators, selected by convenience, with at least 20 interviews planned. The study follows strict ethical criteria and uses semi-structured interviews, analyzed through content analysis with support from the ATLAS.ti software. It is expected that the results will contribute to the recognition of nurses in regulation, supporting policies and regulations for their roles, as well as improving access to and quality of care provided to the population.