Dialysis nursing is one of the most rewarding, and most challenging, nursing specialties. There are almost 750,000 Americans currently diagnosed with end-stage renal disease, representing nearly 10% of the U.S. population. With that number expected to increase by 5% each year, the need for nurses skilled in medicating, supporting, and monitoring patients on dialysis is growing. At the same time, the United States is anticipating a critical nursing shortage that is felt across all specialty areas.
Because of the unique stresses that dialysis nurses face, travel nurses with high-quality dialysis skills and experience are in particularly high demand: hospitals, dialysis centers, and other healthcare settings rely upon travel nurses to cover short-term needs — and they provide generous travel nurse salaries as well as the many other benefits that travel nursing offers.
Dialysis nurses are registered nurses (RNs) who provide care and support for patients diagnosed with kidney disease. Patients suffering from either acute or chronic renal failure have only two treatment options: kidney transplant or dialysis. Dialysis is a process in which equipment called a hemodialyzer mechanically balances the chemicals in a patient’s blood and removes the waste, salt, and extra water that the body would normally be able to process on its own. Hemodialysis is one of the two types of dialysis available. It usually needs to be completed three times a week and takes about four hours per treatment.
Dialysis equipment can be located in hospitals, transplant centers, and specialized dialysis units, in patients’ homes, and in nursing, hospice, and rehabilitation facilities. It can even be found on cruise ships and in resort towns, as the rapidly growing population of patients diagnosed with kidney disease has created a demand for access wherever patients need or want to be. That means that dialysis travel nurses are offered the opportunity to work in all of these settings, and more.
Dialysis nurses need to prime the hemodialyzer and bloodlines and prepare the equipment for each patient, overseeing the treatment from start to finish. They record and monitor patient vital signs, cannulate accesses, administer medications, and remove femoral sheaths, as well as clean and dress both permanent and temporary catheters. They also provide dialysis patients with critical education on how to manage their condition, with particular attention paid to diet, nutrition, and exercise as well as self-medication.
Because patients have to spend so many hours in dialysis, and are on a regular schedule of treatments, dialysis nurses have a profound exposure to their patients fears, stresses, and anxieties. They play as important a role in improving patients’ quality of life through emotional and mental support as they do in the technical care that they provide.
Working in dialysis requires an in-depth understanding of the kidneys and their diseases, as well as of the sophisticated machinery used to treat patients. Most dialysis nurses are:
To become a Certified Dialysis Nurse by the Nephrology Nursing Certification Commission, you must hold a full and unrestricted license as an RN and have completed a minimum of 2,000 hours in nephrology nursing care for patients needing dialysis, as well as twenty contact hours of continuing education in nephrology nursing within two years of submitting the exam application. To be certified as a Nephrology Nurse the requirements increase to a minimum of 3,000 hours, while APRN Nurse Practitioners who wish to be certified as Nephrology Nurse-Nurse Practitioners (CNN-NP) also require at least 2,000 hours practicing in nephrology.
Dialysis nurses often benefit from membership in the American Nephrology Nurses Association, which provides education, advocacy, networking, and science throughout the nephrology nursing spectrum.
The demand for dialysis nurses is expected to increase in the next several years. This need is due in part to the national nursing shortage and the predicted 15% increase in demand according to the Bureau of Labor Statistics as well as the anticipated increase in the number of patients diagnosed with kidney disease. Conditions such as diabetes and high blood pressure contribute to the risk for chronic kidney disease, and so does aging. As America’s population grows older, the need for nurses qualified to provide specialized care for patients with acute and chronic kidney disease will continue to grow.
The average dialysis nurse salary is between $68K-$78K per year; the average hourly rate is between $32.10-$37.32 per hour.
According to a survey conducted by Payscale.com, dialysis nurses earn an average hourly rate of $32.10 and an average annual salary of $67,741, though nurses who have extensive experience within the specialty command higher rates, as well as generous signing and annual bonuses. Salary.com reports a slightly higher income, with dialysis nurse salaries ranging between $69,948 and $94,588 and averaging $77,617. Compensation is often enhanced by employee benefits, which can include health, dental and vision insurance, life, short-term and long-term disability insurance, vacation and sick leave, and matching contributions to a 401K plan.
|Ability to establish real connections with patients.||Long work hours caring for patients who are very ill.|
|Knowing that you are making a significant difference in your patients’ quality of life.||High rate of burnout, as duties are physically and emotionally exhausting.|
|Ability to work in a wide variety of healthcare settings.||Depression caused by high number of patients who die.|
|Job security.||Staff shortages leads to heavy workloads.|
According to ZipRecruiter, travel nurses make significantly more money than dialysis nurses working in traditional settings, earning an average of $92,734 per year. Travel nurses usually receive an hourly rate along with non-taxable housing stipends, non-taxable per diems, and travel reimbursements, and those who are certified in specialty areas like dialysis command premium pay, regardless of how many years of experience they have. You also have the opportunity to receive signing bonuses and retention bonuses, as well as bonuses for referring other dialysis nurses to the agency you work for.
If you’re a dialysis nurse who is considering travel nursing, the opportunities that await you are endless. So are the benefits. Travel nurses not only earn significantly higher salaries — they also have the opportunity to change their work environments and locations. Whether you opt to move to another type of facility, another part of the country, or even take an exciting opportunity like working as a cruise ship dialysis nurse, travel nursing allows you to explore the country, advance your career, and increase your pay.