Dialysis Technician Training in Texas

The Texas Department of State Health Services is responsible for the licensing of end stage renal disease facilities. The Texas Health and Safety Code legislation states that an individual may not practice as a dialysis technician unless trained and competent under Sec. 251.031 Subchapter C. These rules have been established to protect the health and safety of all end stage renal disease patients. All technicians must be supervised by qualified medical professionals.

In addition to complying with state requirements, dialysis technicians must meet all regulations adopted by the federal government. In the past, dialysis facilities billed patients for the treatment that they received. Since end stage renal disease is a chronic condition, it requires ongoing therapy that includes multiple trips to a dialysis clinic each week for many hours at a time. As one might imagine, this process can become very expensive. Most patients were unable to obtain health insurance policies that would cover the expense. In order to ensure proper health care for these patients, the government made the Centers for Medicare and Medicaid Services (CMS) responsible for reimbursing dialysis clinics for approximately 80% of the costs of their services.

The fact that dialysis facilities are dependent on the CMS for the funds they need to remain in operation means that all technicians in the United States will be required to comply with CMS regulations.

CMS regulations 494.140 (e)(1-4) state that the patient care technician training and certification requirements must have the following expectations…

    1. Meet all applicable state requirements for:
      • Education
      • Training
      • Credentialing
      • Competency
      • Standards of practice
      • Certification
      • Licensure
    2. Have a High School Diploma or equivalency
    3. Complete an approved training program that includes the following subjects:
      • Principles of dialysis
      • Care of patients with kidney failure
      • Possible complications of dialysis
      • Water treatment and dialysate preparation
      • Infection control
      • Safety
      • Dialyzer reprocessing
    4. Certification by a State or National Program within 18 months of employment

In most cases, new dialysis technicians will receive the training they need at the facility where they have been hired. The government does mandate that facilities include commonly accepted standards of practice in the training protocol and may specify that the training program be a specific number of hours in length. Training may last from 30 to 90 days and will generally include both classroom instruction and clinical experience. Once a technician has successfully completed a training program, they typically work for a period of 6 to 18 months before sitting for a certification examination.

Options for national certification examination include…

  1. The Nephrology Nursing Certification Commission (NNCC)
  2. The Board of Nephrology Examiners Nursing and Technology (BONENT)
  3. The National Nephrology Certification Organization, Inc. (NNCO)

In an effort to ensure high quality dialysis treatment in the United States, Congress created 18 non-profit renal networks in 1978. Each state belongs to one of these networks. The networks are responsible for tracking the quality of care being provided by facilities within their jurisdiction. They accomplish this through data, rehabilitation promotion, patient education, and personnel support. Networks are an important source of information for technicians. Texas is the only state included in Network 14.

Texas Dialysis Technician Training and Career Links

  1. American Renal Associates
  2. Angelo Kidney Connection
  3. Brazos Dialysis
  4. Children’s Hospital of San Antonio
  5. Children’s Medical Center of Dallas
  6. Childress Regional Medical Center
  7. Cook Children’s Health Care System
  8. Davita
  9. Dialysis Clinic, Inc.
  10. Dialyspa Dialysis Center
  11. Driscoll Children’s Hospital
  12. DSI Renal, Inc.
  13. Elik Dialysis Home Therapy
  14. Fresenius Medical Care
  15. Gambro Healthcare
  16. Harris Health System
  17. Home Dialysis
  18. Home Kidney Care
  19. Memorial Hermann
  20. Quality Dialysis
  21. Reeves County Hospital
  22. Reliant Renal Care
  23. Renal Physician of North Texas
  24. Renal Services of America
  25. Renal Solutions, Inc.
  26. Renal Ventures Management
  27. Satellite Healthcare
  28. Scott and White Healthcare
  29. Shannon Medical Center
  30. Stafford Dialysis
  31. Sugar Land Dialysis
  32. Texas Children’s Hospital
  33. University Health System
  34. University of Texas Medical Branch
  35. US Renal Care
  36. West Park Dialysis
  37. Wilbarger General Hospital
  38. Wise Regional Health System

State Contact Information

Texas State SealPhone:          (512) 834-6646
Fax:               (512) 834-4514
Email:           cna@cdph.ca.gov

P.O. Box 149347     Austin, TX 78714-9347

Web Site:     Texas Department of State Health Services

National Network:   Network 14

8 thoughts on “Dialysis Technician Training in Texas

  1. Joy


    I have worked in the medical field as a CNA for many years now. For years I have applied to many Dialysis Clinics to work as a Dialysis Tech. As a CNA I have work with dialysis patients in the hospital. I am getting my LVN and I want to stay in that field when I’m finished, but now I am trying to go from CNA to a Dialysis tech. Can you guide me in the direction I need to go please?

    1. Steve Post author


      You will likely need to complete a dialysis technician training program through either a treatment facility or an independent educational institution and become nationally certified. Our best recommendation is to contact potential employers in your area so that they can help guide you through the unique requirements in your area.

    1. Steve Post author


      Most technicians acquire training through their employer or through an independent educational institution such as a community college or technical school. We would recommend contacting local employers to find out where they suggest you pursue training.

  2. Johanna


    I am currently in college to be an elementary school educator but the medical field is a big part of my life due to my family’s great involvement in it. My dad is a Nephrologist and in a few summers will be heading up a new dialysis unit. I am only 19 and have lifeguarded for three years but would love to get my certification as a dialysis tech so that I can possibly apply for a position when the unit opens. I was wondering how I would go about that since I am currently in school studying for another, very different profession. Is that something that may prevent me from being a candidate?

    1. Steve Post author


      The program you are in now should not interfere with your ability to become a dialysis technician. Although the Centers for Medicare and Medicaid Services (CMS) do require dialysis technicians to be certified within 18 months of being hired, a college degree is generally not expected. In most cases, you will need to complete a training program that is either offered in-house by employers in your area or through independent educational institutions. You will need to contact clinics near you to find out if they provide their own training since we do not maintain a database. We have provided links to major organizations operating in Texas above this comment section. The training usually needs to be completed before taking a certification exam. You can learn more about that process on our certification page.



    I just moved to the US (San Antonio, TX) 3 months ago. I have a Bachelors in Dentistry in Mexico. During the last 13 years I worked in pharmaceutical sales, but would now like to work with dialysis patients. Can I get access to training with a foreign background? Is there a school in San Antonio that you would recommend?

    Thank You!

    1. Steve Post author


      You should be able to work in the dialysis profession as long as you have valid citizenship or a work visa. We generally recommend that those who are looking for training contact potential employers directly before enrolling in a program. Many facilities offer their own training programs or have a list of approved programs in the area. Learning about these requirements in advance can save time and effort in the career entry process. A list of employers in Texas is provided above this comment section. Hope that helps.

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