New Graduate RN Residency, Cardiac/ Medical IMCU

About the Role

This New Graduate RN Residency program at Boston Medical Center (BMC) offers a position in the Medical Cardiac Intermediate Care Unit (IMCU) for night shifts, with an expected start date of March 2027. The program is designed to support the transition from nursing student to professional nurse, providing structured education, hands-on clinical experience, and preceptorship. After a 4-month training period, RNs will assume a position on a Step Down unit.

Key Responsibilities

• Develop competency in caring for patients with complex cardiac, medical, pulmonary, and renal conditions.
• Manage patients with congestive heart failure (CHF) requiring intensive fluid management and diuresis.
• Monitor and manage multiple cardiac drips (up to five).
• Care for patients transitioning to and from the ICU and medical-surgical floors.
• Admit patients from the Emergency Department and procedural areas.
• Monitor patients requiring close monitoring and advanced therapies.
• Care for patients with tracheostomies and mechanical ventilation.
• Manage chest tubes and pericardial drains.
• Provide care for TAVR and other post-procedural cardiac patients.
• Care for patients with pulmonary hypertension and complex cardiopulmonary disease.
• Provide peritoneal dialysis.
• Administer patient-controlled analgesia (PCA).
• Assess and monitor high-risk post-procedure patients.
• Care for complex medical patients with multiple comorbidities and rapidly changing clinical conditions.
• Recognize subtle changes in patient condition.
• Prioritize competing clinical needs.
• Communicate effectively with providers.
• Intervene early when a patient's condition begins to deteriorate.
• Develop clinical judgment necessary to manage rapidly changing situations.
• Perform nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care.
• Adhere to established agency policies, procedures, protocols, guidelines, and standards of practice.

What You Will Learn

• Strong foundation in cardiac, medical, pulmonary, and critical-care nursing.
• Strengthened clinical assessment and prioritization skills.
• Confidence in recognizing and responding to patient deterioration.
• Advanced cardiac monitoring and medication management.
• Skills in fluid balance, diuresis, and management of complex CHF patients.
• Experience with complex devices, drains, and therapies.
• Care for patients requiring mechanical ventilation, cardiac drips, and advanced cardiac therapies.
• Experience patient movement across levels of care through transfers to and from the ICU and medical-surgical floors.
• Effective communication, delegation, time-management, and teamwork skills.

Requirements & Tech Stack

• Active BLS/CPR for Healthcare Providers is required.
• Flu Vaccine required prior to start.
• Registration and current RN licensure in the state of MA in good standing preferred prior to start date.

Qualifications

• New graduate nurses hired into the institution in cohorts.
• Nurses who are new graduates in Critical Care are expected to remain in their critical care role for a minimum of 2 years from the date of hire.
• New graduate nurses in all other BMC practice areas are expected to remain in their roles for a minimum of 1 year from the completion of their orientation.
• The role is designated for nurses who have graduated from nursing school within the twelve (12) months before their date of hire.
• Curious, motivated, and eager to learn.
• Comfortable working in a fast-paced and highly dynamic environment.
• Interested in cardiac, medical, pulmonary, and critical-care nursing.
• Strong communicators and collaborative team members.
• Able to prioritize and organize care for multiple complex patients.
• Committed to patient safety and evidence-based practice.
• Resilient, adaptable, and willing to ask questions.
• Passionate about developing their clinical skills and professional practice.

Commitment

• The units require a two-year commitment after investing in the new graduate RN.