Fundamentals in Nephrology Nursing

Fundamentals in Nephrology Nursing:
at a glance

Credential(s) Earned: The Michener Institute of Education at UHN Certificate of Achievement

Program Length: 7 Weeks

Start Date: January 24, 2023

Tuition: TBD / Contact for more information

Application Deadline: November 29, 2022

Program Code: NENU120


The Michener Institute of Education at UHN uses a unique hybrid teaching and learning model that combines didactic and self-directed learning modalities alongside a comprehensive clinical practicum, to prepare learners for complex and dynamic clinical practice environments.

During this 7-week program, the Fundamentals in Nephrology Nursing course will provide learners with the knowledge, specialized skills and enhanced judgement to competently perform kidney care in a variety of environments (i.e. outpatient hemodialysis, satellite centers, renal and transplant clinics, acute inpatient units, etc.).  This program provides entry to practice renal competencies for RPNs/RNs and can be used in place of institution specific Nephrology orientation. An enhanced focus on kidney care across the spectrum will be provided, with emphasis in Hemodialysis, Peritoneal Dialysis and Renal Transplantation.

The innovative design integrates the clinical experience through 7 weeks of synchronous and asynchronous virtual learning, allowing students to integrate new knowledge into their Nephrology practice on an ongoing basis. At the end of the program, successful learners will have competency in the execution of safe, ethical, and effective renal care. Learners will also possess an ability to perform advanced nursing assessments and interventions and represent themselves as key members of the multidisciplinary team.

The curriculum is grounded in the concepts and practice standards derived from the Canadian Association of Nephrology Nurses and Technologists (CAANT), the Canadian Society of Nephrology (CSN), and the College of Nurses of Ontario (CNO).

Learner Outcomes

This is a hybrid program, consisting of:

  1. An online self-directed learning component
  2. In person (virtual) classroom component
  3. In person (skills laboratory) component
  4. A clinical practicum component

Upon successful completion of the course, Learners will be able to:

  • Practice within the scope of professional, legal and ethical standards, organization policies and best practices in Nephrology nursing.
  • Deliver holistic, compassionate, and effective care for renal patients with a focus on health promotion and illness prevention.
  • Establish proficiency in the assessment, care and management of dialysis vascular access.
  • Recognize the impact of kidney disease on patients lived experience and understand the relationship between the biopsychosocial aspects of renal disease.
  • Identify abnormal renal anatomy and physiology, pharmacological interventions and dietary approaches used to meet the needs of complex renal patients.
  • Demonstrate knowledge of dialysis therapies (including machine mechanics) to safely and efficiently perform all aspects of entry level Nephrology nursing care related to hemodialysis and peritoneal dialysis.
  • Understand the difference between acute kidney injury, chronic kidney disease and end stage kidney disease and the associated risk factors, etiologies, and therapeutic management approaches.
  • Establish and maintain therapeutic relationships with patients, families and/or substitute decision makers to optimize patient and family-centered Nephrology nursing care.
  • Apply the nursing process in the assessment, diagnosis and planning of care to meet the unique and individualized needs of complex and comorbid renal patients.
  • Implement, evaluate and document on nursing interventions that compliment advanced care planning decisions aimed to achieve optimal patient outcomes.
  • Use evidence based strategies and tools to de-escalate responsive behaviors in renal patients, families and/or substitute decision makers.
  • Collaborate with all members of the multidisciplinary team in providing complex care for patients with renal disease to achieve continuity of care and optimal patient outcomes.
  • Use evidence based research and best practice guidelines to inform and adapt Nephrology nursing practice.
  • Engage in reflective practice and ongoing professional development to enhance competence in Nephrology care nursing.

Evaluation Method

Successful completion of both the clinical practicum and the classroom component assessments are required in order to achieve certification in this course.

Exam and Assessments:

Include but not limited to

  • Tests
  • Machine Training
  • Mid Term and Final Exams
  • Clinical Practicum

Instruction Method

Hybrid Model:

Online (virtual) classes
Online self-study modules
Clinical Practicum (Institution must provide Clinical Facilitator(s) & Preceptor(s))

Total Number of Theory: 168 hours
Total Number of Clinical Practicum: 112 hours

Site Requirements

Each site must designate a Clinical Facilitator (1 Clinical Facilitator for every 10 new learners), who will provide guidance, learning support and evaluate learners in the clinical placement setting. This role will most often be filled by an Educator, CNS, PCC or Clinic Coordinator. The Clinical Facilitator is NOT the preceptor.

A 2-hour Clinical Facilitator Orientation session is required for all Clinical Facilitators new to the Michener program. The Course Coordinator will arrange a time for the orientation session prior to the start of the course.

The session will cover:

  • An overview of the program
  • A detailed walk through of the clinical course component including:
    • Course schedule
    • Focused clinical labs
    • Clinical assessments/evaluations
    • Blackboard walk through


Individual Pre requisites:

  1. Valid RN/RPN license to practice nursing in Ontario
  2. 1 year acute care nursing experience recommended
  3. Legal ability to work in Canada
  4. Manager and/or supervisor support required


The following textbook is recommended to support your learning in this course. It is the responsibility of the student to purchase the book.

Core Curriculum for Nephrology Nursing, 7th Edition. Caroline S. Counts, Editor. Published by ANNA (2020).


Katey Peirson, RN (EC) – Acute Adult, MScN, NP
Rosaleen Nemec, RN, BScN, MAEd, CNeph(c)
Shyalini Jeevakaran, BscN, RN, MN
Michelle Gabriel RN, BScN, MSc HSED, CNeph(c)


This course is not available for individual registration.

Hospital inquiries please email:


COVID Vaccine Requirement:

Effective September 7th all learners, faculty and staff must provide proof of at least one-dose of approved COVID-19 vaccine to participate in any in-person learning or on-site activities. Proof of full vaccination will be required as of October 8th, 2021.

Instructions to upload proof of COVID vaccination to Self Service