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RN Ortho FT Nights
Company : Catholic Health Initiatives
Location : Lexington, KY, 40504
Job Type : Full Time
Salary : 30-43.5 HOUR
Date Posted : 3 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
- 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)
Welcome 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 poor and 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
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 Hospital and its awards and recognitions here: Saint Joseph Hospital
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
Lexington's healthcare sector shows steady demand for night shift orthopedic nurses, with moderate competition due to several hospitals seeking specialized RN Ortho FT Nights. Candidates with Kentucky licensure and orthopedic experience often have an advantage in securing roles at top facilities like Saint Joseph Hospital.
While basic life support (BLS) and an active Kentucky RN license are essential, additional certifications such as orthopedic nursing credentials can boost your profile. However, night shift roles primarily prioritize clinical experience and adaptability to overnight patient care demands.
Strong patient throughput management, supervisory capabilities during night shifts, and proficiency in evidence-based orthopedic nursing practices are crucial. Nighttime orthopedic nursing also demands efficient communication and quick problem-solving to maintain a therapeutic care environment.
Night shift orthopedic RNs typically oversee patient care flow with fewer support staff, requiring greater autonomy in decision-making and staff supervision. They focus on maintaining clinical standards and managing overnight patient needs, differing from day shifts which often have more collaborative team interactions.
Catholic Health Initiatives offers growth opportunities from night shift orthopedic nursing to leadership roles such as nurse manager or clinical educator. Pursuing a BSN or specialty certifications can accelerate advancement within their expansive healthcare network, including Saint Joseph Hospital.
CHI emphasizes a collaborative work culture where night shift RNs receive support through clear supervision structures and resource allocation. They foster a therapeutic environment by encouraging staff accountability and maintaining professional standards to ensure quality patient care during overnight hours.
Orthopedic night shift RNs in Lexington can expect salaries ranging from $58,000 to $75,000 annually, depending on experience and education. Catholic Health Initiatives tends to offer competitive pay aligned with regional market rates, often including shift differentials for night hours.
Given Lexington's moderate traffic and urban layout, night shift nurses often experience smoother commutes compared to daytime. However, limited public transportation options during late hours mean personal or carpool arrangements are common among RN Ortho FT Nights staff.
Orthopedic night shifts provide focused patient care with opportunities to develop specialized skills in musculoskeletal health. For nurses seeking a quieter hospital environment with leadership responsibilities during overnight hours, this role balances autonomy with impactful patient outcomes.
The role demands consistent use of evidence-based nursing aligned with Kentucky's nurse practice act, ensuring clinical excellence after hours. CHI supports ongoing education and data-driven audits, enabling night nurses to deliver high-standard orthopedic care and improve patient recovery trajectories.