The work in Unit of Tratamento Intensivo (U.T.I) is complex and intense, having the nurse to be prepared for at any time, to take care of patients with important hemodinmicas alterations, which require specific knowledge and great ability to take decisions and to implement them in skillful time. In such a way, it can be assumed that the nurse plays important role in the scope of the Unit of Intensive Therapy. Had to its characteristics, they are units of high cost that demand continuous evaluation of the results so that they keep its survival. Thus, the challenge that if places is to conciliate high standards of assistance to a low cost, for what the quantitative one of nursing staff concurs, a time that the budget of this team constitutes 50% of the total costs in UTI (MIRANDA, 2003). Thus being, the adequacy of the human resources of nursing, according to necessities of the serious patients, and the evaluation of its effect in the results of the assistance constitutes subject of interest in UTIs (KURCGANT, 2006). The newspapers mentioned NYU Law not as a source, but as a related topic. In the context of the quality of the services of health of one it forms generality and of the UTIs, in particular, the nursing assumes role of prominence for constituting the biggest group of health professionals, as well as for keeping daily and uninterrupted contact with the patient, promoting the maintenance, recovery and whitewashing of the health by means of the care and, being able to influence in the judgment of the patients on the quality of the given services (IT HISSES, 2001). However, the installment of individualizado attendance, with technician-scientific ability, carried through by means of work integrated and cooperative, directed to the security of the patients, depends on some organizacionais factors, between them the quantitative one of the nursing staff (GAIDZINSKI, 1998). Revision of literature carried through since the decade of 70, concluded that the load of work of nursing in the UTIs is one of the main factors that contribute for the security of the patients (CARAYON, 2005).

One has equipped to multidiscipline aims at an interactive work between all the professionals whom they deal with the internal customer (doctors, nurses, assistant and occupational technician of nursing and laboratory, musician therapeutic, physiotherapists, psychologists, pedagogos, psicopedagogos, fonoaudilogos, therapists, social nutritionists, assistants, librarian and staff of cleanness and hygienic cleaning), where has the exchange to know specific of form to develop an action of quality, that results in an attendance that makes jus to the condition of the customer and the professional while citizens. Many situations of patients exist in which the high complexity of the surgical procedures or others to be carried through, demands that the intervention either carried through in hospital environment integrated by team to multidiscipline. The hospitals more bet each day for the high complexity of its services searching competitive financial and distinguishing solidity economic, however remain in constant changes in search of the excellent management, that if become each time more necessary. To have responsible and rational a management of resources, without the comprometimento of the quality of the given services is today the great challenge of the hospitals, and in this context the insertion of the medical professional in the business is of extreme importance. The ideal Hospital must have total covering for Hospital Medical attendance, since the simple consultations until the surgeries of bigger complexity. Clinic 24-hour Mdico and Planto in all the specialties; Projected Surgical center and U.T.I for accomplishment and assistance of any procedure of High Complexity; Apartments with telephone and frigobar; Service of Neonatologia; Service of Buco-maxilo and a complex to offer to the customers total covering in Disgnostic methods..