Nights (March 2027)

Boston Medical Center•Boston, MA

About The Position

The New Graduate RN Residency is a transition-to-practice program for newly licensed nurses at Boston Medical Center. Residents begin in a Medical Cardiac Intermediate Care Unit (IMCU)/Step Down setting caring for complex cardiac, medical, pulmonary, and renal patients, including patients with congestive heart failure and complex fluid-management needs. The unit has frequent transfers to and from the ICU and medical-surgical floors, as well as admissions from the Emergency Department and procedural areas. The role provides exposure to close monitoring and advanced therapies, including cardiac drips, mechanical ventilation, tracheostomies, chest tubes, pericardial drains, peritoneal dialysis, and post-procedure cardiac care. The residency incorporates the Nurse of the Future Nursing Core Competencies and includes structured education, hands-on clinical experience, preceptorship, and ongoing support throughout orientation and the transition-to-practice period. Training lasts four months, after which RNs assume a position on a Step Down unit. 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, following nursing department care models and established policies, procedures, protocols, guidelines, and standards of practice. The position reports to the Unit Nurse Director. The program is for nurses who graduated from nursing school within the 12 months before their hire date. The posting specifies a March 2027 start and a 36-hour day/night rotating schedule. The job description states a two-year commitment for the Step Down units and also says that new graduates in non-critical-care BMC practice areas are expected to remain in their roles for at least one year after completing orientation.

Requirements

Must be a new graduate nurse who 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 prior to start.
Current RN registration and licensure in good standing in Massachusetts is 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.
Must complete the online application and attach a resume and letter of intent together as one PDF.
New graduate nurses in the relevant BMC practice areas are expected to remain in their roles for at least one year after completing orientation; the posting also states a two-year commitment for Step Down units.

Nice To Haves

Current Massachusetts RN registration and licensure in good standing prior to 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; adaptability and eagerness to learn.

Responsibilities

Assess, diagnose, plan, implement, and evaluate nursing care for patients and their families across the health care continuum.
Coordinate patient care and contribute to clinical, educational, quality, and fiscal patient-care outcomes.
Provide evidence-based care in accordance with nursing department models of care and established policies, procedures, protocols, guidelines, and standards of practice.
Develop skills in cardiac, medical, pulmonary, and critical-care nursing, including assessment, prioritization, advanced cardiac monitoring, medication management, fluid balance, and diuresis.
Care for complex patients and gain experience with advanced therapies, devices, drains, mechanical ventilation, and cardiac drips.
Recognize changes in patient condition, communicate with providers, and respond to deterioration.
Collaborate with experienced RNs and a multidisciplinary team, including cardiology, respiratory therapy, pharmacy, nephrology, physicians, and advanced practice providers.
Develop communication, delegation, time-management, and teamwork skills while progressing toward independent practice.