Dialysis Nurse

Who these nurses care for

Patients receiving hemodialysis in acute, chronic or CRRT settings.

What the shift actually looks like

Three or four patients on machines simultaneously, with the shift structured entirely around treatment runs. Acute inpatient work is unpredictable; chronic outpatient is highly routinised.

Credentials and certifications

Typically required

BLS, ACLS; CDN or CNN valued

Typical ratio

Typically 1:3 to 1:4

What to specify when you send the req

Acute vs chronic, CRRT capability, and whether nurses cannulate fistulas.

Why this role is hard to fill

Acute inpatient dialysis and chronic outpatient dialysis are different jobs with different pools. CRRT narrows it further.

What candidates ask before accepting

Answering these in the req itself shortens the process considerably, because they are the questions that otherwise surface at offer stage and cause declines: Acute versus chronic, whether they cannulate fistulas, CRRT expectations, and on-call.

Contract or permanent?

Contract for census swings, leave coverage and seasonal surge. Per diem to protect ratios without expanding core FTE. Permanent when the seat is structural. The expensive mistake is running contract labour for eighteen months on a role that was always permanent.

Licensure

Registered nursing is covered by the Nurse Licensure Compact in most of the country, so a multistate license lets a nurse work across member states without a new application. Thirteen jurisdictions sit outside it — Alaska, California, DC, Hawaii, Illinois, Michigan, Minnesota, Nevada, New York, Oregon, Puerto Rico, American Samoa and the Northern Mariana Islands — and in those markets every out-of-state nurse needs a single-state license first. Those are the markets where reqs stay open longest.

How we work this req

Every candidate is spoken to before you see them, with licensure for your state, certifications and unit-specific competency confirmed before submittal. We screen to the credential the unit actually needs rather than the title on the posting. Rates sit inside the ranges on our published cost breakdown.