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

Boston Medical Center•Boston, MA

About The Position

Boston Medical Center’s New Graduate Nurse Residency Program supports newly licensed nurses in transitioning from nursing school to professional practice. The program incorporates the Nurse of the Future Nursing Core Competencies and provides structured training, hands-on clinical experience, preceptorship, and ongoing support. After four months of training, RNs assume a position on a Step Down unit. The role is intended for nurses who graduated from nursing school within the 12 months before their hire date. The position is in a fast-paced, high-acuity Medical Cardiac Intermediate Care Unit (IMCU), caring for complex cardiac, medical, pulmonary, and renal patients. Clinical exposure includes congestive heart failure and intensive fluid management, cardiac drips, patients transitioning to and from the ICU, tracheostomies and mechanical ventilation, chest tubes and pericardial drains, post-procedural cardiac patients, pulmonary hypertension, peritoneal dialysis, and other complex conditions. The residency helps nurses build clinical judgment, assessment, prioritization, communication, and critical-thinking skills while caring for patients with changing conditions. The registered nurse is accountable for clinical, educational, quality, and fiscal patient care outcomes. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and families across the health care continuum, following nursing department care models and established policies, procedures, protocols, guidelines, and standards of practice. The position reports to the Unit Nurse Director. The posting states an expected March 2027 start date and a 36-hour night schedule with rotating weekends. Nurses hired into the Step Down program are asked to make a two-year commitment; the posting also states that new graduate nurses in non-critical-care 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 vaccination is required 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.
Able to work in a fast-paced, dynamic environment and prioritize and organize care for multiple complex patients.
Strong communication and collaboration skills.
Commitment to patient safety and evidence-based practice.
Curiosity, motivation, adaptability, resilience, willingness to ask questions, and eagerness to develop clinical skills.
A two-year commitment is requested for nurses placed on Step Down units.

Nice To Haves

Current RN licensure in good standing in Massachusetts before the start date is preferred.

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 care to complex cardiac, medical, pulmonary, and renal patients in a high-acuity IMCU environment.
Monitor patients with complex conditions and recognize and respond to changes or deterioration in patient status.
Manage fluid balance, diuresis, and complex congestive heart failure care.
Develop competency in advanced cardiac monitoring and medication management, including cardiac drips.
Care for patients transitioning to and from the ICU and patients requiring advanced therapies and close monitoring.
Collaborate with experienced RNs and a multidisciplinary team, including cardiology, respiratory therapy, pharmacy, nephrology, physicians, and advanced practice providers.
Follow established agency policies, procedures, protocols, guidelines, standards of practice, and the nursing department’s model of care.
Participate in structured residency education, clinical training, preceptorship, and the transition-to-practice process.