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

Location: Boston

New Graduate RN Residency Program – Medical Cardiac IMCU

Position Overview

Begin your nursing career in a fast-paced, high-acuity Medical Cardiac Intermediate Care Unit (IMCU) where you will develop strong clinical judgment, critical-thinking skills, and confidence caring for medically complex patients.

Our IMCU provides care for a wide range of complex cardiac, medical, pulmonary, and renal patients, including patients with congestive heart failure (CHF) requiring intensive fluid management and diuresis. This is an ideal environment for a new graduate nurse who is eager to learn, grow, and develop advanced assessment and clinical skills.

Our unit is busy and dynamic, with 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.

What You Will Learn

As a new graduate RN, you will have the opportunity to 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, including management of up to five cardiac drips

Patients transitioning to and from the ICU

Patients transferring to and from medical-surgical floors based on changes in acuity

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

A Fast-Paced Learning Environment

The IMCU offers a unique opportunity to bridge the gap between traditional medical-surgical nursing and critical care. Nurses develop the ability to 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.

With frequent movement of patients into and out of the ICU and to and from the medical-surgical floors, our nurses gain valuable experience caring for patients across the continuum of acuity. The unit provides exposure to complex cardiac, respiratory, renal, and fluid-management needs while developing the clinical judgment necessary to manage rapidly changing situations.

New Graduate Residency Experience

Our residency program is designed to support the transition from nursing student to confident professional nurse. New graduate nurses receive structured education, hands-on clinical experience, preceptorship, and ongoing support throughout the orientation and transition-to-practice period.

You will have the opportunity to

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 Experience patient movement across levels of care through transfers to and from the ICU and medical-surgical floors Work closely with experienced RNs and a multidisciplinary team including cardiology, respiratory therapy, pharmacy, nephrology, physicians, and advanced practice providers Develop communication, delegation, time-management, and teamwork skills Progress toward greater independence while maintaining a strong support system

Who We Are Looking For

We are seeking new graduate nurses who are

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

Why Choose Our IMCU?

If you are looking for a new graduate experience that will challenge you, strengthen your clinical judgment, and prepare you for a broad range of nursing opportunities, our Medical Cardiac IMCU offers an exceptional foundation.

You will care for patients with a level of complexity that will continually challenge you to learn and grow, while being supported by experienced nurses and a multidisciplinary team dedicated to your development.

Come build your nursing career with us and develop the skills, confidence, and clinical judgment to care for some of the most complex medical and cardiac patients in the hospital.

New Graduate RN Residency, Step Down (36 hours, Day/Night rotating weekends), expected start date in March 2027

The New Graduate Nurse Residency Program at BMC assists in the transition to practice for newly licensed nurses. Nurse residency or nurse transition programs reduce turnover and improve critical thinking/ clinical decision-making skills thus impacting patient outcomes and nurse satisfaction. Please read the application instructions thoroughly.

Boston Medical Center has developed a comprehensive new graduate nurse transition to practice program incorporating the Nurse of the Future Nursing Core Competencies. New graduate nurses are hired into the institution in cohorts. After the training (4 Months), RN's will assume a position on a Step Down unit. The units require a two-year commitment after investing in the new graduate RN.

The role is designated for nurses who have graduated from nursing sc