Bangalore · Nurses and trained attendants for dialysis households
A nurse or attendant for a dialysis patient, matched to the dialysis week.
GNM and B.Sc nurses with renal ward or dialysis unit experience, and trained attendants briefed on the fistula arm and the fluid chart, placed in Bangalore homes on the shifts a dialysis schedule actually needs. Most families end up with an attendant and a nurse on specific days, and we will say so if that is what fits.
Reviewed by Sister Mary George, B.Sc Nursing, Care DirectorLast updated September 2026
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In one paragraph
A nurse for a dialysis patient at home is a GNM or B.Sc nurse who gives injections such as erythropoietin, dresses catheter and fistula sites, manages diabetes and wounds, records vitals and fluid balance, and reports to the nephrologist through the family. Most dialysis households need a trained attendant plus a nurse on specific days; a full-time nurse is for catheters, new fistulas, peritoneal dialysis, transplant recovery or wounds.
What we cover
Care needs & conditions covered.
Conditions covered
- Haemodialysis three times a week at a centre
- Peritoneal dialysis (CAPD or automated PD) at home
- A new AV fistula that is still maturing
- A dialysis catheter (permcath or temporary line)
- Recovery after a kidney transplant
- Dialysis with diabetes, foot wounds or heart failure alongside
Care needs we support
- Injections at home, including erythropoietin and insulin, given and logged by a nurse
- Catheter exit-site and fistula dressings done under the dialysis unit’s instructions
- Vitals, daily weight and fluid intake recorded in one handover log
- Medicines given on time, with phosphate binders at meals and no changes made at home
- Escort to the dialysis centre and observation in the hours after the session
- Bathing, transfers, meals and night cover for a patient who is weak or elderly
Attendant or nurse
Attendant or nurse, decided by the patient’s access, dialysis type and other conditions.
A trained attendant handles bathing, transfers, meals, the fluid chart, daily weight and the escort to the centre. A GNM or B.Sc nurse does the clinical work: injections, dressings, catheter care, insulin, wound checks and the vitals a nephrologist wants read properly. Paying nurse rates for attendant work is the most common mistake we see, and it usually ends with the family cancelling in the second month.
- A stable haemodialysis patient who walks, eats and takes tablets needs an attendant, and perhaps a nurse visit for the erythropoietin injection
- A patient with a dialysis catheter needs a nurse for the exit-site dressing, because an infected line is a hospital admission
- A new fistula in its first six to twelve weeks of maturing needs a nurse to check the thrill and the arm, and an attendant for everything else
- Peritoneal dialysis at home needs a nurse trained in bag exchanges under the PD unit’s protocol; an attendant is never asked to do an exchange
- A transplant recipient in the first months needs a nurse for the medicine schedule, the vitals and the infection watch
- Diabetes with a foot wound or an ulcer moves the placement to a nurse, because the dressing and the sugars need the same person
Shift patterns
Shift patterns that fit a dialysis week.
Dialysis runs three days a week, and the patient is tired and low on blood pressure for hours after each session. The rota should follow that rhythm. On a dialysis day the caregiver weighs the patient before leaving, escorts them across Bangalore traffic, waits or returns, checks the access site and the blood pressure at home, and keeps the patient resting and hydrated within the limit. On a non-dialysis day the work is the morning weight and blood pressure, the fluid count, the renal meals, medicines, a walk and the log.
- Dialysis-day 12-hour shifts, three times a week: the pattern most families start with, covering the escort, the session and the evening after it
- Daily 12-hour day shift: for a patient who is weak or diabetic and needs the fluid chart, meals and medicines held to every day
- Night shift: for a patient with night-time breathlessness, cramps or confusion, or a family that is losing sleep
- Live-in attendant: for a patient who cannot be left alone, with a nurse visiting for injections and dressings
- 24-hour nurse cover in two 12-hour shifts: for catheters, fresh transplants, peritoneal dialysis or a recent admission, usually for a few weeks
- Per-visit nurse: for an erythropoietin injection, a dressing change or a vitals check, booked a day ahead
Matching
What we check before placing someone.
A nurse who has worked a renal ward or a dialysis unit already knows why the fistula arm is left alone and what a fluid chart is for. That experience is the first filter. The second is whether the person can talk to the patient, because a dialysis patient who cannot explain that they feel faint to their caregiver is not safe.
- Renal ward or dialysis unit experience for nurses, and prior work with a dialysis patient for attendants
- Comfort with fluid charts, daily weights and the renal diet, checked by asking, not assumed from the CV
- Experience with elderly diabetics, since most dialysis patients in Bangalore are both
- BLS training for nurses, so a collapse after a session is handled while the ambulance is on its way
- Language match with the patient: Kannada, Tamil, Telugu, Malayalam, Hindi or English as the household needs
- A handover log kept from the first shift, so the family and the nephrologist see readings and events in one place
Choosing a level
Three ways to staff a dialysis household, from the dialysis days alone to round-the-clock cover.
The deciding facts are the access (fistula or catheter), the type of dialysis, whether there are wounds or insulin, and whether the patient can be left alone between sessions. Tell us those on the call and the level usually picks itself.
Dialysis-day nurse or attendant
A haemodialysis patient who manages between sessions but needs a trained person for the escort, the session and the evening after it, three days a week.
An attendant for a stable patient, or a nurse where the access is a catheter or the patient has diabetes with wounds. Twelve-hour shifts on dialysis days only, with the family covering the other four.
Rate quoted after the free assessment
Daily 12-hour nurse
A patient with a dialysis catheter, a maturing fistula, insulin, a wound, or a recent hospital stay, where every day has a clinical task in it.
A GNM or B.Sc nurse with renal experience on a daily day shift: injections, dressings, vitals, the fluid chart and the log, plus the escort on dialysis days. Booked with 48 hours’ notice.
Rate quoted after the free assessment
Live-in attendant with nurse visits
A patient who cannot be left alone, or a family with nobody at home during the day, where the clinical work is limited to injections and dressings a few times a week.
A live-in attendant matched on renal experience and language handles the daily routine, the escort and nights. A nurse visits, booked a day ahead, for erythropoietin, insulin reviews, dressings or vitals.
Rate quoted after the free assessment
If the match is wrong, we replace the caregiver. A nurse the patient cannot talk to, or an attendant who is not confident with the escort, is not a placement we leave in place while the family waits it out. Tell us in the first week.
We do not run a dialysis machine, change prescriptions, or cannulate a fistula outside a dialysis unit’s own home haemodialysis programme. For home haemodialysis, the machine, water treatment, technician and nephrologist come from the dialysis provider; our nurse works as the trained care partner around them.
Know the red flags
When the nurse or attendant calls the dialysis unit, or 108.
Every caregiver we place on a dialysis patient is briefed on this list. The dialysis unit or nephrologist is called first through the family, and for a collapse or breathlessness at rest the ambulance on 108 comes before any phone call to us.
- Breathlessness at rest or when lying flat, which usually means fluid the next session has not yet removed
- Fainting, or blood pressure that stays very low for hours after a session
- Fever, redness or pus at a catheter exit site, or a catheter that has slipped or is leaking
- No thrill felt over the fistula, or a hand on that side that is cold, pale or painful
- Bleeding from the access site that does not stop with ten minutes of firm pressure
- Muscle weakness, tingling or a slow or irregular pulse, which can mean high potassium
- Cloudy drained fluid, belly pain or fever in a peritoneal dialysis patient
- A missed or refused dialysis session, which the family and the unit need to know about the same day
The nephrologist and the dialysis unit make the decisions. The nurse observes, records, acts on written instructions and escalates. The log goes with the patient to every session and every clinic visit so the doctor sees the week, not a single reading.
Honest expectations
What the nurse or attendant does, and doesn’t.
Clear scope from day one keeps the placement happy on both sides. Here’s exactly what to expect.
Included in care
- Give injections, insulin and dressings exactly as the dialysis unit or nephrologist has written them (nurse level)
- Record weight, blood pressure, fluid intake, medicines and how the patient was after each session in the handover log
- Escort the patient to and from the centre and watch for dizziness and low blood pressure afterwards
- Keep the fistula arm free of cuffs, blood draws, tight sleeves and pressure
- Report a change to the family the same day, so the nephrologist hears about it before the next session
Not included (we arrange specialists instead)
- Never run, set up or adjust a dialysis machine
- Never change a dose, a fluid limit or a diet instruction at home
- Never cannulate a fistula outside a dialysis unit’s own home haemodialysis programme
- Never insert a PD catheter or attempt a bag exchange without training under the PD unit’s protocol
- Never leave a patient alone in the hours after a session while their blood pressure is still low
Simple to start
How to book care at home.
- Step 1
Tell us what you need
Call +91-7619629005 or send the form, share the condition, daily routine and your locality.
- Step 2
Get matched within hours
We shortlist verified caregivers suited to the condition, language and shift you need.
- Step 3
Care starts at home
The caregiver is briefed and begins, with quick replacement support if the fit isn’t right.
Short-term and on demand
Need this for a few days, or just once?
Book the shifts around the dialysis timetable. A nurse with renal-ward experience is held once we have the schedule and the access type.
- Booked as
- 12-hour shifts
- Typical duration
- Dialysis days three times a week, or daily cover, extended shift by shift
- Lead time
- 48 hours
- No same-day bookings at present
Frequently asked
Hiring a nurse for a dialysis patient, answered.
Tell us the dialysis schedule and the access,
and we will tell you who you actually need.
Fistula or catheter, haemodialysis or peritoneal, diabetes or a wound alongside, and which days nobody is home. We respond within the hour and recommend attendant, nurse or both honestly.
