Dialysis Nurse Career Overview

Kasia Kovacs
By
Updated on December 16, 2025
Edited by

How Long to Become

3-6 Years

Average Annual Salary

$82,834

Job Outlook (2024-2034)

5% Growth for all RNs

Dialysis Nurse Career in Brief

adn or bsn required
certification options

Dialysis nurses administer treatment for kidney disease, including hemodialysis and peritoneal dialysis. Dialysis essentially replicates the patient’s kidney functions, regulating blood and cleaning out extra water, salt, and waste from the patient’s body. In addition to carrying out dialysis, these specialized nurses:

Primary Responsibilities

  • Educate patients and families about kidney disease and how to treat it
  • Record patients’ medical information
  • Assess patients prior to treatment
  • Monitor patients for any adverse dialysis reactions
  • Manage fluid and electrolyte balance
  • Communicate this information to doctors, in case the patient needs a treatment change

Career Traits

  • Skills in operating healthcare machinery (specifically, a dialysis machine)
  • Good communication skills
  • Patience
  • Attention to detail

Where do Dialysis Nurses Work?

Dialysis nurses work in a few different settings, including dialysis clinics, hospitals, and outpatient clinics. Many dialysis nurses travel to patients’ homes to administer treatment there, particularly in rural areas where patients may not have regular access to hospitals or clinics. Acute dialysis nurses work in ICU and other chronic care settings.

  • minusDialysis Clinic

    Meet with patients regularly throughout the week, offering hemodialysis or peritoneal dialysis treatments and monitoring patients’ reactions

  • minusAcute Care or ICU Departments

    Administer emergency dialysis or other kidney treatments to people experiencing extreme kidney failure

  • minusPatients’ Homes

    Take and set up equipment in patients’ homes, administer dialysis treatments, record patients vitals, communicate patients’ conditions with the hospital or healthcare facility

Why Become a Dialysis Nurse?

As with any job, working as a dialysis nurse has its pros and cons. While it is a fulfilling career for many, be sure to evaluate the advantages and disadvantages before you enter the field.

Advantages to Becoming a Dialysis Nurse

  • check-circle Since you see the same patients frequently during the week, becoming a dialysis nurse allows you to cultivate relationships with patients.
  • check-circle Dialysis nurses—and registered nurses as a whole—can look forward to promising job growth. As more patients age, they continue to need dialysis care.
  • check-circle Opportunities for career advancement. You can earn a master’s degree and work as an advanced practice nurse with a dialysis specialization.
  • check-circle Some dialysis nurses also travel as part of their job.

Disadvantages to Becoming a Dialysis Nurse

  • x-circle Especially for those working in acute care, dialysis nurses may work long hours.
  • x-circle Like in many healthcare roles, dialysis nurses may face burnout—especially when dealing with the emotional exhaustion of working with very sick patients.
  • x-circle Some dialysis nurses must go into the hospital or facility while on call, especially if only a few nurses specializing in dialysis work at that healthcare facility.

How to Become a Dialysis Nurse

  1. 1

    Earn a BSN or ADN

    Nurses need the proper education before they can start their career. Either a four-year BSN or two-year ADN provides the nursing education necessary to become a dialysis nurse.

  2. 2

    Pass the NCLEX-RN to receive RN licensure

    Dialysis nurses must work as registered nurses (RNs). To do this, they need to pass the qualifying NCLEX-RN examinations and apply for licensure with their state board.

  3. 3

    Gain experience in dialysis nursing

    Specialty certification in dialysis or nephrology nursing requires some prior experience working in this field. Specialty certifications require 2,000-3,000 hours of experience.

  4. 4

    Improve your job prospects as a Certified Dialysis Nurse (CDN) or a Certified Nephrology Nurse (CNN)

    Although certification is not necessary for becoming a dialysis nurse, obtaining certification can increase your authority and help you find a job. In fact, some employers look for candidates with these certifications.

Learn More About How To Become a Dialysis Nurse

How Much Do Dialysis Nurses Make?

Dialysis nurse salaries vary, depending on factors such as experience and degree level. On average, a dialysis nurse’s salary stands at about $82,834, according to PayScale data. Entry-level nurses in the field earn an annual salary of $67,175, while late-career dialysis nurses earn about $88,875, on average.

Along with other registered nurses, the number of dialysis nursing jobs could increase by 5% from 2024-2034, according to the Bureau of Labor Statistics (BLS). That projected growth is faster than the average for all occupations.

Specialty Skills for Dialysis Nurses

Since dialysis nursing includes treating kidney disease, these nurses need specialty skills for this condition.

Hemodialysis involves the process of filtering a patient’s blood through an artificial kidney. The treatment attaches a dialyzer (the artificial kidney) to the patient’s blood vessels with needles. The process usually occurs at least a few times a week.

Resources for Dialysis Nurses

  • Nephrology Nursing Certification Commission (NNCC)

    Since 1987, the NNCC has offered certification for nurses within the nephrology and dialysis specializations. Individuals can find plenty of helpful certification exam preparation resources online. In addition, the group offers research grants, career mobility scholarships, and advocacy awards for nurses within this scope of practice.
  • ANNA Educational Scholarships and Grants

    In addition to providing continuing education opportunities, ANNA offers several grants and scholarships ranging from $1,000-$5,000. The scholarships provide financial help for nurses who wish to advance their careers in nephrology or dialysis specialization, while the grants offer funds for nurses who wish to carry out research in their field.
  • International Society of Nephrology (ISN)

    About 30,000 health professionals specializing in kidney disease make up this global organization. The group aims to advance our understanding of kidney health through education, grants, research, and advocacy. Members can participate in education webinars and conferences, or they can get involved in research and advocacy efforts.

Frequently Asked Questions About Dialysis Nurses

This depends on a nurse’s education path. Nurses first need to earn a degree. An ADN traditionally lasts two years, while a BSN may take four years to complete. After earning RN licensure, nurses must complete 2,000-3,000 hours of work within the nephrology field to obtain certification. That could take 1-2 years. Overall, it could take 3-6 years to become a dialysis nurse.

Reviewed by:

Portrait of Elizabeth Clarke, FNP, MSN, RN, MSSW
Elizabeth Clarke, FNP, MSN, RN, MSSW

Elizabeth Clarke (Poon) is a board-certified family nurse practitioner who provides primary and urgent care to pediatric populations. She earned a BSN and MSN from the University of Miami.

Clarke is a paid member of our Healthcare Review Partner Network. Learn more about our review partners.