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

Boston Medical Center•Boston, MA

About The Position

The New Graduate RN Residency is an entry-to-practice nursing role in a high-acuity Medical Cardiac Intermediate Care Unit (IMCU)/Step Down setting. Nurses care for medically complex cardiac, medical, pulmonary, and renal patients, including patients with congestive heart failure who require intensive fluid management and diuresis. The unit manages patients across changing levels of acuity, with frequent transfers to and from the ICU and medical-surgical floors, as well as admissions from the Emergency Department and procedural areas. The residency supports newly licensed nurses’ transition from nursing school to professional practice through structured education, hands-on clinical experience, preceptorship, and ongoing support. The program incorporates the Nurse of the Future Nursing Core Competencies. After four months of training, 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 models of care and established policies, procedures, protocols, guidelines, and standards of practice. The position is for nurses who graduated from nursing school within the 12 months before their hire date. New graduates hired into critical care are expected to remain in that role for at least two years from hire. The posting also states that new graduate nurses in other BMC practice areas are expected to remain in their roles for at least one year after completing orientation; the program description separately states a two-year commitment for the Step Down unit. The expected start date is March 2027. The schedule is 36 hours, nights, with rotating weekends.

Requirements

Graduated from nursing school within the 12 months before the date of hire.
Active BLS/CPR for Healthcare Providers is required.
Flu vaccination is required before starting.
Current RN registration and licensure in Massachusetts in good standing is preferred before the start date.
Candidates must apply only to the Step Down New Grad program; candidates who also apply to experienced RN positions will not be considered.
Submit an online application with a resume and letter of intent attached together as one PDF.
Ability or willingness to work in a fast-paced, dynamic environment and learn 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.

Responsibilities

Assess, diagnose, plan, implement, and evaluate nursing care for patients and their families across the health care continuum.
Coordinate care and provide patient care in accordance with established policies, procedures, protocols, guidelines, standards of practice, and the nursing department’s model of care.
Remain accountable for 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.
Develop skills in recognizing and responding to patient deterioration and in managing changing patient acuity.
Manage or gain experience with cardiac monitoring and cardiac drips, fluid balance and diuresis, mechanical ventilation, tracheostomies, drains, and other complex therapies.
Collaborate with experienced nurses and a multidisciplinary team, including cardiology, respiratory therapy, pharmacy, nephrology, physicians, and advanced practice providers.
Complete the four-month residency training and transition to a Step Down unit position.
Complete the required role commitment after training or orientation, as described in the posting.