New Graduate RN Residency, Cardiac/ Medical IMCU, Nights (March 2027)

BMC Software•Boston, MA

2d•$38 - $75•Onsite

About The Position

The New Graduate RN Residency is a transition-to-practice program for newly licensed nurses, with the nurse assigned to a Medical Cardiac Intermediate Care Unit (IMCU)/Step Down unit. The IMCU cares for complex cardiac, medical, pulmonary, and renal patients, including patients with congestive heart failure and intensive fluid-management needs. The unit has frequent admissions and transfers from the Emergency Department, procedural areas, the ICU, and medical-surgical floors, and patients may require close monitoring and advanced therapies. The residency includes structured education, hands-on clinical experience, preceptorship, and ongoing support. The program incorporates the Nurse of the Future Nursing Core Competencies and provides four months of training before nurses assume a position on a Step Down unit. Residents develop assessment, prioritization, clinical judgment, communication, teamwork, and other skills needed to care for patients across changing levels of acuity. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and families across the health care continuum. The RN is accountable for clinical, educational, quality, and fiscal patient care outcomes and follows nursing department models of care and established policies, procedures, protocols, guidelines, and standards of practice. The position reports to the Unit Nurse Director. The program is intended for nurses who graduated from nursing school within the 12 months before their hire date. Nurses hired into the program are expected to remain in their Step Down role for at least two years after the investment in the new graduate RN, as stated in the program description. The posting also states that new graduate nurses in non-critical-care BMC practice areas are expected to remain in their roles for at least one year after completing orientation.

Requirements

Graduated from nursing school within the 12 months before the date of hire.
Active BLS/CPR for Healthcare Providers is required.
Flu vaccine is required before the start date.
Massachusetts RN registration and current licensure in good standing are preferred before the start date.
Candidates must apply only to the Step Down New Grad program; candidates who also apply to posted experienced-nurse RN positions will not be considered.
Submit an online application with a resume and letter of intent attached together as one PDF.
New graduate nurses in non-critical-care BMC practice areas are expected to remain in their roles for at least one year after completing orientation; the program description also states a two-year commitment for Step Down unit placements.

Nice To Haves

Massachusetts RN registration and current licensure in good standing before the start date.
Interest in cardiac, medical, pulmonary, and critical-care nursing.
Strong communication and collaboration skills; ability to prioritize and organize care for multiple complex patients; commitment to patient safety and evidence-based practice; resilience, adaptability, curiosity, and eagerness to learn.

Responsibilities

Assess, diagnose, plan, implement, and evaluate nursing care.
Coordinate care for patients and their families across the health care continuum.
Deliver patient care consistent with the nursing department’s model of care and established policies, procedures, protocols, guidelines, and standards of practice.
Be accountable for clinical, educational, quality, and fiscal patient care outcomes.
Develop competency in caring for complex cardiac, medical, pulmonary, and renal patients, including those with CHF and complex fluid-management needs.
Recognize changes in patient condition, prioritize clinical needs, communicate with providers, and intervene when patients deteriorate.
Develop skills in advanced cardiac monitoring and medication management, including care involving cardiac drips.
Work with experienced RNs and a multidisciplinary team, including cardiology, respiratory therapy, pharmacy, nephrology, physicians, and advanced practice providers.
Participate in structured education, hands-on clinical experience, preceptorship, and the transition-to-practice program.