Even though there is only a small number of pediatric hemodialysis patients, there are a lot of differences between children and adults, such as surface area, blood vessels. It requires special attention and special practice operation when exercising a pediatric hemodialysis treatment. Most important of all, the dialysis nurses can perform complex dialysis treatment precisely and dialysis nurses are required to be well trained technically with a regular technical assessment. It will also secure patients a safe medical environment if pediatric dialysis process is standardized with a consistent check and this will also provide a certain quality dialysis care to the children.