(MARCELINO, 2000 apud LOPES, 2008, P. 28) In the context of these reflections high the hospital one must if, primordially to be prepared since admission of the patient for hospital internment. It is observed in practises clinic, that high the hospital one is guided of form mechanics and without orientaes on continuity of the treatment, or many orientaes at one same moment, with the aggravating anxiety, and harming the understanding and providing errors. Being referenciada for Marra (1989, p.124) ' ' high it is the condition that allows the exit of the patient of the Hospital. The high one is a procedure that engloba all the ways for which the patient can leave the hospital ' ' As it contradicts day- theday literature praises high planning of the hospital one since the beginning of the internment. (HUBER, 2003 p.205).
Being a great challenge for the nurse with as many attributions, but if making necessary an attention pautada in ability technique? scientific. Ahead as many changes and new technologies, the attendance system the health needs if to adjust to provide assistance better. Inside of this model if it inserts the system of reference and against reference, where it will be necessary theoretical recital considered nuclear for the development of this. The Health department detaches the concept for the Systems of Reference and Against-Reference, being it one: Way of organization of the services configured in nets supported for criteria, flows and mechanisms of pactuao of functioning, to assure the integral attention to the users. In the net understanding, the perspective of its logical drawing must be reaffirmed, that foresees the hierarquizao of the complexity levels, making possible resolutive encaminhamentos (amongst the different equipment of health), however strengthening its central conception to foment and to assure bonds in different dimensions: intra-teams of health, Inter-teams/services, between workers and managers and users and services/teams (BRAZIL, 2008a).