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Catholic Health Initiatives

RN Labor and Delivery FT Nights

Company : Catholic Health Initiatives

Location : Lexington, KY, 40509

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

  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:

  • Associate’s Degree (ADN) in Nursing from an accredited nursing college or program
  • Active Registered Nurse (RN) license cleared by the Kentucky Board of Nursing or with eNLC multi-state practice privilege
  • Basic Life Support (BLS)
  • Advanced Cardiac Life Support (ACLS) required to obtain within 3 months post hire
  • Neonatal Resusitation Program (NRP) required to obtain within 3 months post hire

Preferred Qualifications:

  • Bachelor’s Degree in Nursing (BSN) 
  • Previous L&D experience strongly preferred 
Where You'll Work

As our Labor & Delivery Nurse at CHI Saint Jospeh Health, you’ll guide the mother through the labor and childbirth process, focusing on the safety of mom and baby, with kindness and compassion.

To thrive in this role, you'll be flexible in triaging patients, performing screening exams, or guiding patients through routine inductions and deliveries.  You'll consistently be monitoring the mother’s dilation progress while also keeping close watch on baby’s fetal heart rate. You'll be coaching mom as the baby is delivered and providing updates and support to mom and baby's loved ones.  We have wonderful days where we get to be with new parents through the biggest milestone in their lives. We also have hard days comforting parents as they grieve. As part of our care team, you are sensitive and understanding to different circumstances and above all, you remain calm in all situations.

Key Responsibilities:

  • Triage walk-ins to determine if a patient is in labor, water is broken, false alarm, etc
  • Support pregnant patients in labor including induction, epidural assistance (if needed), general pain management and fetal monitoring
  • Assist and circulate in the operating room for cesarean sections, tubal ligation, cerclage and emergency procedures
  • Educate patients on various interventions or procedures - medications (name and purpose), exams, and labor stages
  • Assess newborn and provide care
  • Communicate with the care management team, including anesthesiologist, physician or midwife, lactation nurse, charge nurse, postpartum unit, patient and family

About Us:

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 it's 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

Working nights as an RN in labor and delivery at Catholic Health Initiatives involves managing patient care with heightened focus during quieter hours. Nurses handle emergent deliveries, monitor fetal health, and maintain communication with on-call specialists, requiring adaptability and autonomy in care delivery during overnight shifts.

In Lexington, KY, key credentials for labor and delivery nurses include an active RN license as per Kentucky Board of Nursing, Basic Life Support (BLS), and Advanced Cardiac Life Support (ACLS). Neonatal Resuscitation Program (NRP) certification is also essential to ensure newborn safety during deliveries.

Night shift RNs in labor and delivery often require stronger decision-making skills due to reduced on-site support, enhanced vigilance during unpredictable patient influxes, and expertise in managing emergencies independently. Night roles emphasize proactive patient monitoring and resource coordination distinct from daytime workflows.

Catholic Health Initiatives fosters professional development by offering mentorship, advanced training, and leadership opportunities tailored for night shift labor and delivery nurses. Their supportive environment encourages skill enhancement in neonatal care, emergency protocols, and potential pathways into nurse management roles.

Lexington's healthcare sector shows steady demand for labor and delivery nurses, but night shift roles tend to attract fewer applicants, creating favorable opportunities for qualified RNs. Candidates with certifications like ACLS and NRP are particularly sought after, reflecting a moderate competition level in this niche.

Hospitals in Lexington prioritize certifications including BLS, ACLS, and NRP for labor and delivery nurses. Additionally, having a Kentucky state RN license with multi-state privileges enhances employability, reflecting regional regulatory preferences that ensure high standards in maternal and neonatal care.

At Catholic Health Initiatives, night shift labor and delivery nurses benefit from a comprehensive support system, including teamwork with specialized care teams and access to cutting-edge neonatal units. The role emphasizes compassionate care through both joyful and challenging birth experiences unique to this healthcare network.

Night shift RNs at Catholic Health Initiatives face dynamic patient needs with limited immediate supervisory presence, requiring efficient prioritization and real-time problem-solving. The workload often involves direct supervision of junior staff and facilitating smooth patient throughput, ensuring safety and care quality overnight.

Labor and delivery RNs on full-time night schedules in Lexington, KY typically earn between $58,000 and $75,000 annually. Factors influencing pay include certification status, experience, and specific hospital policies, with night differentials often boosting overall compensation in this specialty.

Typical night duties involve triaging laboring patients, continuous fetal monitoring, assisting with epidurals and cesarean sections, and providing postpartum support. Nurses also coordinate with multidisciplinary teams to ensure comprehensive maternal and neonatal care during overnight hours.

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