Nights, (March 2027)

Boston Medical Center•Boston, MA

1d•Onsite

About The Position

The New Graduate RN Residency is for newly licensed nurses entering a Medical Cardiac Intermediate Care Unit (IMCU)/Step Down unit. The IMCU cares for medically complex cardiac, medical, pulmonary, and renal patients, including patients with congestive heart failure requiring intensive fluid management and diuresis. Care includes close monitoring, advanced therapies, and frequent transfers between the ICU, medical-surgical floors, the Emergency Department, and procedural areas. The residency supports the transition from nursing school to professional practice through structured education, hands-on clinical experience, preceptorship, and ongoing support during orientation and the transition-to-practice period. The program incorporates the Nurse of the Future Nursing Core Competencies. After four months of training, nurses 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. Nurses are accountable for clinical, educational, quality, and fiscal patient care outcomes, following the nursing department’s model of care and established policies, procedures, protocols, guidelines, and standards of practice. The position reports to the Unit Nurse Director. The role is intended for nurses who graduated from nursing school within the 12 months before their hire date. The posting describes a March 2027 expected start date and a 36-hour schedule with day/night rotations and weekends. The units require a two-year commitment after investing in the new graduate RN. New graduates in other BMC practice areas are expected to remain in their roles for at least one year after completing orientation; the posting also specifies a minimum two-year commitment for new graduates in critical care. Applicants must apply only to the Step Down New Grad program and submit a resume and letter of intent together as one PDF with their online application.

Requirements

Graduated from nursing school within the 12 months before the date of hire.
Active BLS/CPR for Healthcare Providers is required.
Flu vaccine required before starting.
Registration and current RN licensure in Massachusetts in good standing preferred before the start date.
Apply only to the Step Down New Grad program; applications to experienced RN positions will not be considered for this program.
Submit an online application with a resume and letter of intent attached together as one PDF.
Complete the required program commitment: two years for the units as specified in the posting; new graduates in other BMC practice areas are expected to remain at least one year after orientation, while critical-care new graduates are expected to remain at least two years from hire.

Nice To Haves

Registration and current RN licensure in Massachusetts in good standing before the start date is preferred.
Curiosity, motivation, and eagerness to learn.
Comfort working in a fast-paced, dynamic environment.
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, and willingness to ask questions.
Interest in developing clinical skills and professional practice.

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.
Care for complex cardiac, medical, pulmonary, and renal patients, including patients with CHF and complex volume-management needs.
Monitor patients receiving cardiac drips, mechanical ventilation, tracheostomies, chest tubes, pericardial drains, peritoneal dialysis, and other advanced therapies.
Recognize changes in patient condition, prioritize clinical needs, communicate with providers, and intervene when patients deteriorate.
Participate in patient transfers to and from the ICU and medical-surgical floors as acuity changes.
Collaborate with experienced RNs and a multidisciplinary team, including cardiology, respiratory therapy, pharmacy, nephrology, physicians, and advanced practice providers.
Develop communication, delegation, time-management, teamwork, assessment, and prioritization skills during the residency and orientation.
Follow established agency policies, procedures, protocols, guidelines, standards of practice, and the nursing department’s model of care.
Complete the new graduate training and transition to a Step Down unit position.