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

Boston Medical Center•Boston, MA

17h•Onsite

About The Position

The New Graduate RN Residency is an entry pathway for newly licensed nurses to transition into professional nursing practice in a Medical Cardiac Intermediate Care Unit (IMCU)/Step Down setting. The unit cares for medically complex cardiac, medical, pulmonary, and renal patients, including patients with congestive heart failure who need intensive fluid management and diuresis. Nurses encounter frequent transfers to and from the ICU and medical-surgical floors, admissions from the Emergency Department and procedural areas, and patients requiring close monitoring and advanced therapies. The residency incorporates the Nurse of the Future Nursing Core Competencies and provides structured education, hands-on clinical experience, preceptorship, and ongoing support through the orientation and transition-to-practice period. 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. RNs are accountable for clinical, educational, quality, and fiscal patient-care outcomes while following nursing department models of care and established policies, procedures, protocols, guidelines, and standards of practice. The position reports to the Unit Nurse Director. The posting describes a 36-hour night schedule with rotating weekends and an expected March 2027 start. Candidates must apply only to the Step Down New Grad program. The role is designated for nurses who graduated from nursing school within the twelve months before their hire date. Nurses entering critical care are expected to remain in that role for at least two years from hire; new graduates in other BMC practice areas are expected to remain for at least one year after completing orientation, which is marked by the ability to practice independently with a full assignment.

Requirements

Must be a new graduate nurse who graduated from nursing school within the twelve months before the date of hire.
Active BLS/CPR for Healthcare Providers is required.
Flu vaccination is required before the start date.
Current RN licensure and registration in Massachusetts in good standing are preferred before the start date.
Candidates must apply only to the Step Down New Grad program; applicants who also apply to posted experienced RN positions will not be considered.
New graduate nurses entering critical care are expected to remain in their role for a minimum of two years from hire; nurses in other BMC practice areas are expected to remain for at least one year after completing orientation.
Ability to work in a fast-paced, dynamic environment and prioritize care for multiple complex patients.
Strong communication and collaborative teamwork skills.
Commitment to patient safety and evidence-based practice.
Adaptability, resilience, willingness to ask questions, and motivation to develop clinical skills.

Responsibilities

Assess, diagnose, plan, intervene, evaluate, and coordinate care for patients and their families across the health care continuum.
Deliver patient care in accordance 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 clinical assessment, prioritization, and decision-making skills while caring for medically complex patients.
Recognize changes in patient condition and respond to deterioration.
Manage fluid balance, diuresis, and complex congestive heart failure care.
Develop competency in advanced cardiac monitoring, cardiac medication management, and care involving complex devices, drains, and therapies.
Communicate and collaborate with experienced nurses and a multidisciplinary team.
Complete the residency training and transition to a Step Down unit position.
Remain in the assigned role for the stated commitment period applicable to the practice area.