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Catholic Health Initiatives

RN Surgical Telemetry FT Weekend Nights

Company : Catholic Health Initiatives

Location : Lexington, KY, 40509

Job Type : Full Time

Salary : 30-43.5 HOUR

Date Posted : 14 January 2026


Job Summary and Responsibilities

This position is accountable for the daily patient care operations of the assigned department, working under the direction of the Nurse Manager on assigned shifts.  Responsible for daily patient care assignments, maintaining clinical standards of care, maintaining labor productivity and supervision of the patient care environment; supporting the care team.  Supports the activities of the Nurse Manager.  Maintains positive inter- and intra-departmental relationships.  Directs patient throughput activities in the assigned unit. Maintains evidence-based nursing practices to achieve desirable patient outcomes in accordance with the Kentucky Nurse Practice Act.

Essential Key Job Responsibilities

  1. Provides direct supervision of personnel practicing on Nursing Units, makes patient care assignments, evaluates assignments, facilitates patient throughout, and directly observes staff performance on their assigned shift.
  2. Proactively matches existing resources seeking ways to provide patient care that supports staff and maintains a therapeutic environment.
  3. Monitors productivity and assures that staffing and resources are aligned with patient care needs.
  4. Communicates personnel related concerns to the Unit Manager.
  5. Uses a logical, systematic approach to problems and problem-solving.
  6. Facilitates Patient Experience best practices on the unit (hourly rounding, etc.)
  7. Maintains Unit Professional standards.  Holds staff accountable for behaviors and attitudes.
  8. Maintains confidentiality of information of the department.  Assists in audits and data collection as requested. 
  9. Contributes to the efficient operation of the department.
  10. Performs direct patient care and accepts an assigned group of patients as needed.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.


Job Requirements

Minimum Qualifications:

  • Associates Degree in Nursing (ADN) from an accredited program
  • Active Registered Nurse Licensure in Kentucky (KY) or eNLC licensure with multistate privileges in good standing
  • Basic Life Support (BLS)
  • Advanced Cardiac Life Support (ACLS) required to obtain within 3 months post hire

Preferred Qualifications:

  • Bachelor’s Degree in Nursing (BSN)
  • Previous nursing experience in Med/Surg, Telemetry, Cardiac, Emergency, or Critical Care service lines
Where You'll Work

Welcome to Saint Joseph East, a 217-bed, full-service, community hospital located in a convenient setting in Lexington, Kentucky. Saint Joseph East also includes the Women's Hospital at Saint Joseph East which is dedicated to supporting the well-being of women in Central and Eastern Kentucky and serves a 16-bed Level III Neonatal Intensive Care Unit (NICU). 

CHI Saint Joseph Health is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians. 

Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.

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Frequently asked questions

Working weekend night shifts as an RN Surgical Telemetry nurse in Lexington offers concentrated work periods allowing for extended off-days. This schedule suits nurses seeking flexibility, though it requires adjustment to nocturnal rhythms and managing fatigue to maintain personal well-being.

Kentucky mandates an active RN license or ENLC multistate privileges for telemetric nursing roles, aligning closely with national standards but emphasizing compliance with the Kentucky Nurse Practice Act to ensure safe, evidence-based patient care.

Proficiency in cardiac telemetry monitoring, rapid interpretation of cardiac rhythms, and adeptness in critical patient assessment are crucial. Additionally, skills in patient throughput management and staff coordination significantly enhance unit efficiency during weekend night shifts.

Lexington's healthcare sector shows steady demand for telemetry RNs due to its growing medical facilities. Weekend night roles may face less competition compared to traditional hours, offering advantageous entry points for specialized nursing candidates.

RN Surgical Telemetry nurses working weekend nights at Catholic Health Initiatives in Lexington typically earn between $58,000 and $72,000 annually, reflecting local market conditions and the specialized nature of telemetry nursing duties.

Catholic Health Initiatives offers ongoing education and clinical support tailored for surgical telemetry nurses, including resources for ACLS certification and evidence-based practice updates, fostering professional growth within a faith-based care environment.

The hospital’s commitment to compassionate, patient-centered care shapes a collaborative work atmosphere. For weekend night telemetry nurses, this means supportive teamwork, respect for professional standards, and alignment with the organization's mission to serve the common good.

Weekend night shifts often involve fluctuating patient volumes and limited ancillary staff. RNs must skillfully prioritize care assignments and coordinate effectively to maintain smooth patient flow while upholding safety and quality standards.

Weekend telemetry patients may present with more acute or urgent conditions due to reduced elective procedures. Nurses must be prepared for varied clinical scenarios demanding swift assessments and interventions, differing from the more predictable weekday caseload.

Certifications like Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) are highly valued. While ACLS can be obtained post-hire, having it beforehand strengthens candidacy, especially within Kentucky’s regulatory framework and hospital expectations.

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