The whole lot You Have to Know About Being a Dialysis Nurse

Everything You Need to Know About Being a Dialysis Nurse
March 23, 2020 0 Comments

It’s Nationwide Kidney Month, Nurses!

Are you enthusiastic about changing into a dialysis nurse?

Dialysis nursing is among the most in-demand profession paths amongst nurses these days. It’s additionally thought-about as one of many highest paying specializations with an hourly fee of $32.72 (as of March 2020). It’s a promising profession for nurses who wish to focus in a specialised area of nursing.

What’s Dialysis Nursing?

Dialysis nursing is a nursing subspecialty beneath the sector of nephrology nursing. By changing into a dialysis nurse, you can be expert in dealing with sufferers with acute and continual kidney ailments.

Extra coaching is required as a way to be licensed in offering peritoneal and hemodialysis therapies. Sufferers present process dialysis want particular nursing care that’s totally different from affected person dealing with in wards so acquiring persevering with training models is essential.

Right here’s a fast take a look at what dialysis nurses do:

The Dialysis Surroundings

Dialysis nursing is subdivided into three fields – the continual, acute and peritoneal dialysis models.

Continual dialysis

-Termed as “chronics” by nephrology nurses.

On this area of dialysis nursing, you’ll need to care for sufferers with continual kidney ailments that require 2-3x hemodialysis therapies per week.


  • Common schedule hours and no Sundays.
  • Loads of co-staff that will help you in troubleshooting dialysis procedures.
  • You may get to know your sufferers properly and anticipate their healthcare wants throughout their scheduled hemodialysis therapy.


  • You want to cope with all of your assigned scheduled hemodialysis therapies for the day. It may imply catering for as much as 30 hemodialysis therapies at a time.
  • Loads of RN duties like care plans, remedy listing critiques, RN notes, foot checks, and plenty of extra.

Acute dialysis

-Termed as “acutes” by nephrology nurses.

On this area of dialysis nursing, you’ll need to care for sufferers with acute kidney ailments that require rapid or emergent hemodialysis therapies.


  • You solely must cope with 1-2 hemodialysis therapies at a time.
  • You will have autonomy and independence as more often than not, you’re the solely nephrology nurse within the unit.
  • There are days the place you’ll solely must cope with two sufferers for the entire shift which is a giant distinction when in comparison with continual dialysis amenities.


  • Nobody will show you how to in troubleshooting hemodialysis therapies since you’re prone to be the one nephrology nurse within the unit.
  • You want to take on-call hemodialysis therapy even when it means extending for an additional 5 hours after your 12-hour obligation.

Peritoneal dialysis

That is normally an add-on process for acute dialysis amenities, however it’s fully totally different from hemodialysis therapies. You want to set-up by afternoon or night and take away the machine by morning the subsequent day.


  • Machines for peritoneal dialysis are simpler to function and troubleshoot.
  • Sufferers present process peritoneal dialysis are extra steady.


  • 15-liter baggage utilized in peritoneal dialysis machines are heavy to hold. Additionally, you will must manually empty it in the bathroom after every accomplished process.

Additionally Learn: High 10 Highest Paying Nursing Jobs

How one can Pursue Dialysis Nursing

If you’re already determined in pursuing this profession, right here’s a step-by-step information in getting into the sector of dialysis nursing:

1. Grow to be a licensed RN.

To start with, it is advisable develop into a licensed registered nurse. After finishing an Affiliate’s Diploma in Nursing or a Bachelor of Science Diploma in Nursing, you can be eligible to take the NCLEX check to develop into a licensed registered nurse.

2. Achieve related expertise.

To develop into eligible for Nephrology Nursing Certification Fee, it is advisable acquire related work expertise associated to the sector of nephrology. Work expertise requirement features a minimal of three,000 hours of expertise working as a registered nurse in a nephrology unit three years previous to certification software.

You could find out extra concerning the necessities right here.

3. Improve your diploma.

A baccalaureate diploma or a grasp’s diploma in nursing is required to develop into eligible for the certification of the Nephrology Nursing Certification Fee. Take into account upgrading your diploma earlier than changing into licensed.

4. Receive persevering with training models in nephrology.

Persevering with training models in nephrology are required upon certification. You need to meet a minimal of 20 contact hours of CE models in nephrology accomplished inside 2 years earlier than the certification software.

5. Receive certification from Nephrology Nursing Certification Fee (NNCC)

The NNCC offers certification examinations for RNs working towards in dialysis models. When you meet all of the eligibility necessities, you’ll be able to take the certification to develop into a Licensed Dialysis Nurse (CDN).


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Alternatives for Profession Development and Development

Pursuing dialysis nursing might result in extra alternatives for profession development and development like the next:

Grow to be specialised in a subfield.

You may get specialised in offering care to sure group populations like grownup, pediatric or geriatric dialysis nursing. You may as well construct your experience in particular medical areas like steady renal substitute remedy, palliative care, and organ transplantation.

Get promoted to increased positions.

As you construct your credibility in dialysis nursing, you will be promoted to supervisory positions like organ restoration or transplant coordinator and nurse supervisor. You may as well shift to increased positions exterior the medical setting like in academe and analysis.

Enter Superior Observe Nursing.

Dialysis nurses with masteral or doctoral levels can pursue certification as superior observe nurses. By way of this pathway, you’ll be able to act as a major care supplier for sufferers with kidney ailments. As soon as licensed, superior observe nurses can write prescriptions and carry out procedures beneath their specialty. It’s just like what docs do however with imposed limitations in some states.

Observe Nephrology Case Administration.

Some well-experienced dialysis nurses transfer to nephrology case administration. On this area, you’ll need to be an advocate of a kidney affected person’s care. You’ll present counseling periods with the affected person and the affected person’s household. You’re accountable for guaranteeing the affected person’s continuity of care.

Dialysis patient

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Turning into a dialysis nurse is a collection of lifelong studying and abilities improvement. Certification just isn’t instantly required when you enter this area so be happy to discover it as you begin your profession. Some nurses discover this area rewarding after transitioning from different fields like hospice care and geriatric nursing.

It’s by no means too late to get began with dialysis nursing so long as you’re decided to excel on this area.

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