According to the Centered States Renal Data System (USRDS) 2001 report, over 65,000 ESRD patients die each year. The unadjusted annual death rate for ESRD patients in recent years has ranged between 20 and 22%. For nurses it has become akin to working on a “production-line” to meet the need for treatment. Increasing demand has required the nurse to become technologically skilled often to the detriment of caring. What emerges is the nurse enframed by technology, where the caring for nurses is focused through the demand of getting the patient through. The aim of this study was to assess managerial control of the hemodialysis center of PKU Muhammadiyah hospital Indonesia, in term of access, entry and maintenance of the environment of care from the point of view of nurses. Descriptive research method was employed to assess 12 hemodialysis nurses who were totally selected and recruited from the center. The quessionare served as the major research instrument on this study. The hemodialysis nurses indicated that hemodialysis center of PKU Muhammadiyah Yogyakarta Indonesia has been prepared well for all of the aspects of access, entry and maintenance of the environment of care in both procedure and managerial control. Most of nurses and health care provider are aware to provide best care for their patients. It is significantly important to assess managerial control as part of nursing care practice based on the point of view of nurses as the evaluation process. The result can be as data base to improve quality of nursing care.