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In-center hemodialysis is performed at a dialysis facility. Hemodialysis treatments are scheduled three times a week. The length of the treatment is prescribed by a physician and generally lasts 4 hours. To start treatment, specially trained nurses and dialysis technicians insert two needles, connected to dialysis tubing, into a person’s access (usually in the arm) to circulate the blood out of the body, through the tubing, into the dialysis machine to remove the excess fluid and waste, and then back into the person’s body. Nurses and technicians are always there watching and monitoring the treatment.