After initially becoming popular in the 1960s with the creation of dialyzers for home use, at-home hemodialysis is experiencing a newfound resurgence. Today’s technology and advances allow for easier-to-use equipment, home delivery of supplies and blood work monitoring that's done remotely by phone. 


Whether you’re getting ready for dialysis or want to switch to a different type of dialysis, our Treatment Decision Guide can help you decide what treatment options might be best for you.
Download the guide

At-Home Hemodialysis (HD) Training

Depending on the type of dialysis machine you will use, the training program lasts for about 4 to 8 weeks. You will continue to get your dialysis treatments while you are going through your training.

Your home-training nurse will review the training course with you and your care partner, plus set up your orientation and training schedule. There are 4 basic steps:
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Hemodialysis home setup

To do hemodialysis in your home, you
will need:

  • Easy-to-reach tap water and a drain
    (sink or bathtub)
  • Easy-to-reach electrical outlets
  • Space for storing supplies
  • Space for your dialysis equipment

The home-training team will look at the 
inside of your home to make sure it is safe 
for dialysis. They will also make sure there is enough room to store your home-dialysis equipment and supplies.

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Care partner

Hemodialysis has special risks as well as
benefits. Because of these 
risks, you will need a care partner to
help or be with you during 
your treatments.

If there are days when your care 
partner can’t be with you, you should 
plan to receive dialysis at your local 
dialysis center.


Going out of town for a few days or even a month is no problem for people on dialysis. It simply takes some planning.
Plan Now
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Home dialysis training and education

You and your care partner will get the same training. During training, you and your care partner will learn:

  • How to use your home 
    hemodialysis and water machines
  • About the parts of your dialysis
    and water machines
  • What to check on the machine
    computer screen during your
  • How to dispose of needles and 
    syringes—you will be given a 
    “sharps” container for them
  • How to safely discard treatment
    tubing and dialyzers after each
  • How to use and care for your 
  • How to handle issues that may 
    occur during treatment
  • Who to call if you need help or 
    have questions

After you finish your at-home HD training course, you will be awarded a special certificate. There is a lot to learn, but it’s worth it so that you can successfully dialyze at home.

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Going home

Once you’ve finished your training at 
the hemodialysis center, you and 
your home-training nurse will 
choose a day and time for your first 
home treatment. 

On that day, your nurse will come to 
your house to watch—and help—you 
and your care partner go through all 
the treatment steps in your own 
home with your own equipment. 
That way, he or she can make sure 
you both feel confident and safe 
dialyzing on your own.

Equipment and water technicians 
will also make sure that all your 
home dialysis equipment is in safe 
working condition. They will also do
regular maintenance checks.


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