Under the supervision of the Director of Nursing Hemodialysis Nurses provide direct and individualized nursing care to End Stage Renal Disease (ESRD) patients who require hemodialysis based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of Hemodialysis Nurses include (but are not limited to):

  • Assessment: Conducts ongoing focused physical, psychosocial, and pain assessments; including assessment of patient education needs. 
  • Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, and formulates goals, teaching plans and outcomes to create an individualized plan of care to ESRD patients on hemodialysis.
  • Implementation: Prioritizes and implements an efficient nursing plan of care relating to the care ESRD patient who receives hemodialysis treatment.
  • Evaluation/Reassessment: Consistently conducts timely evaluations, recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.


  • Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient, and timely flow of patients. Recognizes and reports errors, near misses or unusual occurrences, and initiates corrective action when appropriate.
  • Knows special procedures related to dialysis such as changing dialyzer and or blood lines, the interpretation and comprehension of the transmembrane pressure (TMP) and deduce fluid replacement.
  • Initiates/Terminates hemodialysis treatments in patients with AV graft, AV fistulas and catheters.
  • Monitor blood pressure every 30 minutes or more frequently as needed.
  • Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
  • Observe access and ensure access site is visible at all times.
  • Ensure lines and connections are securely taped to avoid separation of blood lines.
  • Observe for complications such as air embolism, hemolysis, exsanguinations, fever, seizures, arrhythmias, hypotension and report immediately to the physician.
  • Prepares and administers and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse.
  • Recognize the signs and symptoms of respiratory emergencies and knowing how to start standard interventions to stabilize the patient.

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