Renal Dialysis Nursing

Renal Dialysis Nursing was officially recognized in the early 1970s. It was during this time that advances in Nephrology were established. As the need for Dialysis treatment grew, so did the need for highly specialized Renal Dialysis Nurses.

Renal Dialysis Nursing is one of the most recognizable nursing specialties today but, only a small handful of the entire nursing population ever become Renal Dialysis Nurses (RDNs). Some nurses go their entire careers without having operated Renal Dialysis machines. They may have dealt with patients suffering from renal failure but that is usually the extent of their Renal Nursing Experience.

So, what really is Renal Dialysis nursing and how can a nurse become one?

What is Renal Dialysis Nursing?

Renal Dialysis Nursing is also referred to as Nephrology Nursing. It is a nursing specialty where practitioners work with patient suffering from renal conditions. Most renal dialysis nurses deal with patients with acute and chronic renal failure. They deal with patients of all genders, races and age groups.

A majority of Renal Dialysis Nurses work in Ambulatory Renal Dialysis Units. Some work in clinics or hospital wards that deal with patients undergoing dialysis treatment. Other Renal Dialysis Nurses work as educators teaching patients about proper prevention, lifestyle changes and shunt care.

Roles of a Renal Dialysis Nurse

The Renal Dialysis Nurse has several roles to fulfill. These roles include being direct caregivers, counselors and specialists. Nephrology Nurses must be very knowledgeable in their field. They must be experts at initiating and terminating specialized IV lines. RDNs must also be quick thinkers and they have to have an updated knowledge about Basic and Advance Life Support.

The need for Life Support training and expertise comes from the fact that most Renal Dialysis Units are sometimes located outside hospital premises. Dialysis patients are also susceptible to cardiac arrests and fluid volume overloads. This means that a Renal Dialysis nurse has to have the ability to be able to revive their patients in case of emergencies.

Renal Dialysis Nurses may also play the role of Nurse Educators. Advance Practice Nurses (APNs) and Renal Dialysis Clinical Specialist are usually the ones called to become educators. They may work in clinics educating patients about prevention and lifestyle changes. They may also educate fellow nurses and hospital staff on the advances of Renal Nursing. APNs may also work as researchers in the field of Renal Dialysis Nursing.

RDNs should also be prepared to take on the role of Counselors. They should be ready to handle any concerns emanating from patients and their families. It is important to keep in mind that some patients who undergo renal dialysis suffer from ESRD (End Stage Renal Disease). Patients with ESRD are often concerned about their mortality. As a result, nurses may have to deal with a lot of patients and families that are anticipatorily grieving.

How to become a Renal Dialysis Nurse

In order to become a full fledge Renal Dialysis Nurse the nurse applicant must first arm him/herself with the right qualifications. Specific qualifications vary from country to country. But the basic requirement remains the same. That requirement is for the applicant to earn a college degree in Nursing and he/she must be a registered nurse (in the country he/she hopes to work in).

It is also advised that the nurse earn an IV therapy license. In the Philippines, IV licensure comes with the regular PRC license. But, some employers still require dialysis nurse applicants to undergo special IV Therapy training. This training is offered year round by the ANSAP (Association of Nursing Service Administrators of the Philippines, Inc.). Schedules for IV Training are often posted in tertiary hospitals all over the country. 

Employers from countries like the United States prefer (but do not require) for their nurses to have special trainings and certifications as Renal Dialysis Nurses. Certification may be earned from several Nephrology Nurses organizations like the American Nephrology Nurses Association (ANNA).

After earning the basic requirements, the nurse can now proceed by applying to Independent dialysis centers or to hospitals that house Renal Dialysis units. Nurses interested in Renal Dialysis may also choose to work Nephrology clinics or in Kidney Centers.

Nursing Associations

The Philippines recognizes Renal Dialysis Nursing as a nursing specialty. As a result, a subset of the Philippine Nurses Association called the Renal Nurses Association of the Philippines was formed.  Renal Dialysis Nurses who are interested to join this organization may contact their local PNA chapter.

The United States have their own specialty organization in the form of the ANNA.  American licensed nurses may also join the Society of Urologic Nurses and Associates. 


 Published at: 01/25/2015