RN 3B Med Surg Tele FT Nights
Company : Catholic Health Initiatives
Location : Lexington, KY, 40504
Job Type : Full Time
Salary : 30-43.5 HOUR
Date Posted : 31 December 2025
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
- 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.
- Proactively matches existing resources seeking ways to provide patient care that supports staff and maintains a therapeutic environment.
- Monitors productivity and assures that staffing and resources are aligned with patient care needs.
- Communicates personnel related concerns to the Unit Manager.
- Uses a logical, systematic approach to problems and problem-solving.
- Facilitates Patient Experience best practices on the unit (hourly rounding, etc.)
- Maintains Unit Professional standards. Holds staff accountable for behaviors and attitudes.
- Maintains confidentiality of information of the department. Assists in audits and data collection as requested.
- Contributes to the efficient operation of the department.
- 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)
Preferred Qualifications:
- Bachelor’s Degree in Nursing (BSN)
- Previous nursing experience in Med/Surg, Telemetry, Cardiac, Emergency, or Critical Care service lines
#Kentucky3Bnurse
Where You'll WorkWelcome to Saint Joseph Hospital, a 433-bed hospital founded in 1877 by the Sisters of Charity of Nazareth as the first hospital in Lexington, Kentucky. Led by Sister Euphrasia Stafford, the mission to provide compassionate care to the underserved is still carried out today. Saint Joseph Hospital holds over two dozen national ranks and recognitions and is recognized as a 2024 Best Place to Work in Kentucky.
Saint Joseph 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
Night shifts for an RN in Med Surg Telemetry at Saint Joseph Hospital can offer quieter patient flow but may challenge social routines. Lexington's community supports shift workers with local amenities and flexible scheduling options, helping nurses maintain balance while addressing overnight patient care demands effectively.
This position uniquely blends med-surg expertise with telemetry monitoring on night shifts, requiring acute assessment of cardiac rhythms alongside general patient care. It demands multitasking between direct nursing duties and supervisory responsibilities, making it distinct from typical day-shift med surg roles.
Beyond the mandatory Kentucky RN licensure, certifications such as ACLS and telemetry nursing credentials enhance job competitiveness. Kentucky hospitals value these qualifications to ensure nurses can manage complex cardiac patients and comply with regional practice standards.
Night shift RNs often encounter staffing fluctuations and emergency admissions requiring agile patient assignments. Efficient throughput demands proactive communication and resource adjustments to maintain care quality while balancing limited overnight personnel in telemetry settings.
Lexington's healthcare sector has steadily increased demand for telemetry-experienced RNs, particularly for night shifts. The presence of renowned facilities like Saint Joseph Hospital drives competition, but also offers robust opportunities due to ongoing patient volume and specialization needs.
Registered nurses in Lexington working full-time night shifts in med surg telemetry typically earn between $60,000 and $75,000 annually. This range reflects local healthcare market trends, experience in telemetry nursing, and shift differentials for overnight hours.
Catholic Health Initiatives fosters advancement through mentorship, continuing education, and leadership opportunities tailored for specialized nursing roles. Their commitment to clinical excellence and employee development helps RNs refine telemetry skills and prepare for expanded responsibilities.
This role integrates supervisory duties with hands-on telemetry nursing during night shifts, enhancing patient safety through vigilant monitoring and staff coordination. Catholic Health Initiatives emphasizes evidence-based practices, boosting outcomes in this critical care setting.
Night shift nurses at Saint Joseph Hospital benefit from Lexington's manageable traffic but should plan for limited public transit options during late hours. Many rely on carpooling or hospital shuttle services to navigate safe and timely commutes in the area.
Catholic Health Initiatives is recognized for a supportive, mission-driven environment emphasizing compassionate care. Compared to peers, its culture fosters teamwork and professional respect, particularly valued by RNs managing the complexities of med surg telemetry night shifts.