New Graduate RN Residency, Cardiac/ Medical IMCU

About the Role

Boston Medical Center (BMC) is seeking New Graduate Registered Nurses (RNs) for a residency program in the Medical Cardiac Intermediate Care Unit (IMCU). This role is designed to support the transition from nursing student to confident professional nurse, providing structured education, hands-on clinical experience, preceptorship, and ongoing support. The program has an expected start date in March 2027.

Key Responsibilities

• Develop competency in caring for patients with:
• Complex cardiac and medical conditions requiring intermediate-level monitoring.
• Congestive heart failure (CHF) and complex volume-management needs.
• Aggressive diuresis and fluid-volume management.
• Multiple cardiac drips (up to five).
• Patients transitioning to and from the ICU.
• Patients transferring to and from medical-surgical floors based on acuity changes.
• Tracheostomies and mechanical ventilation.
• Chest tubes and pericardial drains.
• TAVR and other post-procedural cardiac patients.
• Pulmonary hypertension and complex cardiopulmonary disease.
• Peritoneal dialysis.
• Patient-controlled analgesia (PCA).
• High-risk post-procedure patients requiring close assessment and monitoring.
• Complex medical patients with multiple comorbidities and rapidly changing clinical conditions.
• Bridge the gap between traditional medical-surgical nursing and critical care.
• Recognize subtle changes in patient condition, prioritize competing clinical needs, communicate effectively with providers, and intervene early when a patient's condition begins to deteriorate.
• Gain valuable experience caring for patients across the continuum of acuity, with frequent patient movement into and out of the ICU and to and from medical-surgical floors.
• Develop clinical judgment necessary to manage rapidly changing situations.
• Build a strong foundation in cardiac, medical, pulmonary, and critical-care nursing.
• Strengthen clinical assessment and prioritization skills.
• Develop confidence recognizing and responding to patient deterioration.
• Learn advanced cardiac monitoring and medication management.
• Develop skills in fluid balance, diuresis, and management of complex CHF patients.
• Gain experience with complex devices, drains, and therapies.
• Care for patients requiring mechanical ventilation, cardiac drips, and advanced cardiac therapies.
• Coordinate care for patients and their families across the health care continuum.
• Practice within the model of care designed by the nursing department and following established agency policies, procedures, protocols, guidelines, and standards of practice.

Requirements & Tech Stack

• New Graduate RNs who have graduated from nursing school within the twelve (12) months prior to 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.
• Active BLS/CPR for Healthcare Providers 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.

Commitment

• 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.
• This role requires a two-year commitment after investing in the new graduate RN.

Compensation

• Compensation Range: $38.05 - $75.33
• Factors influencing base pay include education, experience, and licensure/certifications.
• BMCHS offers benefits including medical, dental, vision, pharmacy, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.