Nursing auditing is used to evaluate the nursing care given to achieve deserved and feasible quality of nursing care. Aims of this study were to assess current nursing performance for patients undergoing hemodialysis, Develop nursing care standards and identify the gap between the current nursing management and nursing care standards for those patients. Research design: Exploratory research design was used . Setting: The study was conducted in dialysis unit at Ma, an governmental hospitals- Jordan Subjects: The sample in this study is composed of all available nurses (40 nurses) who are providing direct care to patients in hemodialysis units at previously mentioned hospital. Tools of Data Collection: Self-Administered Interview Questionnaire sheet, an observational check, developed Nursing Care Standards for Patients undergoing haemodialysis, and Nursing Care Standards checklist. Results: Around half of nurses their knowledge score ranged between good and fair regarding renal failure and dialysis. Only 25 % of nurses done correctly in nursing standers 4 about patient educated before discharge. Conclusion: about quarter of nurses perform after dialysis steps incorrectly. There was no statistical significant difference between routine care and standers nursing care for patient undergoing hemodialysis. Recommendations: Written standards of care against which to evaluate nursing care. Training for auditors should include a group discussion to see how the group rates the care received using the notes of a patient.