Nevada Dialysis Technician Requirements

Nevada Administrative Code lays out in detail the requirements to become certified as a dialysis technician within the state. To summarize, dialysis centers are to certify their personnel by providing a written curriculum which covers the following topics:


  • Introduction to dialytic therapies

  • The principles of hemodialysis

  • Understanding a person who suffers from kidney failure

  • Procedures relating to dialysis

  • Information concerning devices used for hemodialysis

  • The treatment of water

  • If the facility reuses water, information concerning the reprocessing of water

  • Providing instruction for a patient of a facility

  • Safety and the control of infection

  • The assurance and improvement of quality


If the center also provides peritoneal dialysis services the following topics must be covered as well:


  • The principles of peritoneal dialysis

  • Sterile techniques

  • The systems for the delivery of peritoneal dialysis

  • The symptoms of peritonitis

  • The complications of peritoneal dialysis


If the center allows technicians to cannulate a dialysis access during the treatment of a patient or administer normal saline, heparin or lidocaine to the patient, the program of training must include the following:

  • Access to circulation

  • Safe administration of medications

  • Administration of normal saline

  • Administration of heparin

  • Administration of lidocaine


Finally, you will be required to complete a written examination. The examination must include each of the applicable subjects specified above. To pass the written examination, you must achieve a score of at least 80 percent on each of the subjects required to be included in the written examination.

The state of Nevada concludes by saying these rules do not apply to dialysis technicians who are certified as a dialysis technician by an organization that is approved by the Bureau.

These Bureau-approved organizations include those recognized by the Centers for Medicare & Medicaid Services (CMS) in their national standards which were implemented in 2008. Below is an excerpt from the Conditions for Coverage released by CMS outlining the requirements to become a certified hemodialysis technician (CHT) or patient care dialysis technician (PCT):


Standard: Patient care dialysis technicians.

Patient care dialysis technicians must—

(1) Meet all applicable State requirements for education, training, credentialing, competency, standards of practice, certification, and licensure in the State in which he or she is employed as a dialysis technician; and

(2) Have a high school diploma or equivalency;

(3) Have completed a training program that is approved by the medical director and governing body, under the direction of a registered nurse, focused on the operation of kidney dialysis equipment and machines, providing direct patient care, and communication and interpersonal skills, including patient sensitivity training and care of difficult patients. The training program must include the following subjects:

(i) Principles of dialysis.

(ii) Care of patients with kidney failure, including interpersonal skills.

(iii) Dialysis procedures and documentation, including initiation, proper cannulation techniques, monitoring, and termination of dialysis.

(iv) Possible complications of dialysis.

(v) Water treatment and dialysate preparation.

(vi) Infection control.

(vii) Safety.

(viii) Dialyzer reprocessing, if applicable.

(4) Be certified under a State certification program or a national commercially available certification program, as follows—

(i) For newly employed patient care technicians, within 18 months of being hired as a dialysis patient care technician; or

(ii) For patient care technicians employed on October 14, 2008, within 18 months after such date.


By meeting these requirements you can work in a dialysis center in the state of Nevada. Exact job description is designated by the dialysis center and should be promulgated in writing.

To comply with paragraph 4 and be “certified under a State certification program or a national commercially available certification program” Nevada maintains its own certification process as mentioned above. Nevada does, however, accept national certification as well. Therefore, you may pass an exam administered by one of the following organizations and you will be recognized within Nevada as a Dialysis technician:

National Certification Programs

1. Nephrology Nursing Certification Commission (NNCC)

Phone number: (888) 884-6622

2. Board of Nephrology Examiners for Nursing and Technology (BONENT)

Phone number: (202) 462-1252

3. National Nephrology Certification Organization (NNCO)

Phone number: (212) 356-0660

To prepare for the exam and meet the training requirements in paragraph 3 of the CMS instruction, several online and campus-based schools in Nevada offer programs with a dialysis technician centric curriculum. Some of the top choices in Nevada are: (or can be found here)

To learn more about the national certification organizations including exam prices, frequency of administration and study guides look here.

The average salary for a dialysis technician in the Silver State is $43,000.