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Catholic Health Initiatives

RN Emergency FT Evenings

Company : Catholic Health Initiatives

Location : Lexington, KY, 40509

Job Type : Full Time

Salary : 30-43.5 HOUR

Date Posted : 7 January 2026


Job Summary and Responsibilities

As an ER Nurse CHI Saint Joseph Health, you’ll be the first touchpoint to the people in our community during health emergencies.

No two days in emergency nursing are ever the same. You’re a multitasker who can react quickly as you’ll prioritize patients based on their medical necessity while you’re providing emergency triage to others. As part of our ER team, you’ll partner with an experienced clinical team to deliver stabilizing care to our patients by performing IV starts, foley catheter insertions, or aiding providers with chest tube insertions. 

To thrive as an ER nurse, you should exhibit teamwork, professionalism, critical thinking skills, and a willingness to take on additional projects such as patient experience initiatives. More than anything, you should be energetic and motivated to provide quality care to all of our patients, maintaining their dignity at every step. 

Key Responsibilities:

  • Use emergency triage protocol to intake, discharge or admit patients.
  • Deliver stabilizing care to emergency patients of all ages as part of the larger ER team, adapting care to changes in patient’s condition as needed.
  • Use knowledge of cultural differences to provide patient care that is sensitive to and consistent with cultural values, beliefs, and customs. Document the nursing care plan and changes in the patient's condition.
  • Engage in other activities that will benefit patient outcomes, such as patient experience initiatives, mentoring, etc.
Job Requirements

Required Education and Experience

  • Associates Degree in Nursing (ADN/ASN) from an accredited school of nursing.

Required Licensure and Certifications

  • Current RN license in the State of Kentucky
  • Basic Life Support (BLS) via the American Heart Association (AHA)
  • Advanced Cardiac Life Support (ACLS) via the American Heart Association (AHA) within 3 months of hire
  • Pediatric Advanced Life Support (PALS) via the American Heart Association (AHA) within 6 months of hire
  • Trauma Nursing Core Course (TNCC) within 12 months of hire

PREFERRED Qualifications

  • Bachelor's Degree in Nursing (BSN)
  • Previous nursing experience in 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).

Whether you are an experienced healthcare professional or working toward that, we invite you to experience Hello Humankindness with us! CHI Saint Joseph Health provides you with the same level of care you provide for others. Learn more about Saint Joseph East and its awards and recognitions here: Saint Joseph East

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 2200 care centers serving 24 states.

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Frequently asked questions

In Lexington's fast-paced emergency rooms, RN Emergency FT Evenings nurses develop sharp multitasking abilities and quick decision-making skills. They prioritize patients based on medical urgency while performing critical procedures, ensuring care stays seamless despite fluctuating caseloads during evening hours.

Key certifications include a current Kentucky RN license, Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Trauma Nursing Core Course (TNCC). These credentials are essential to confidently handle emergency scenarios encountered during evening shifts.

Evening shifts often require heightened vigilance due to reduced staffing and the unpredictability of emergencies. In Lexington, nurses must be adept at managing diverse patient needs while maintaining composure, especially when coordinating with on-call specialists and adapting to resource availability during these hours.

Catholic Health Initiatives fosters a compassionate, team-oriented environment emphasizing 'hello humankindness.' Evening nurses at CHI Saint Joseph Health experience strong collaboration, professional growth opportunities, and a supportive atmosphere dedicated to patient dignity and community care.

At CHI Saint Joseph Health, emergency nurses engage in patient experience initiatives beyond clinical duties, benefiting from a broad system network. The focus on cultural sensitivity and mentorship, combined with access to a 217-bed community hospital and specialized units, offers a distinctive, holistic practice setting.

Emergency room nurses working evening shifts in Lexington typically earn between $62,000 and $78,000 annually, depending on experience and certifications. This reflects regional market rates for registered nurses with emergency specialization, balancing shift differentials and local healthcare demand.

Lexington's demand for emergency RNs, particularly for evening and night shifts, remains robust due to a steady patient influx and expanding healthcare facilities. However, candidates with advanced certifications and flexible scheduling often have a recruitment advantage in this competitive local market.

Evening emergency nurses execute rapid triage, stabilize critical patients, and assist in complex procedures like chest tube insertions. Their role demands acute clinical judgment amidst fluctuating patient conditions, all while collaborating closely with multidisciplinary teams during high-pressure hours.

A frequent myth is that evening ER nursing is less demanding than daytime. In reality, night shifts often involve heightened autonomy and critical decision-making due to fewer immediate resources, requiring exceptional adaptability and resilience from the nurse.

Yes, CHI prioritizes ongoing professional development. Evening emergency nurses have access to mentorship programs and resources to complete required certifications like ACLS and TNCC, ensuring they stay current with best practices while advancing their clinical expertise.

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