RN - General Medical / Surgery Nursing

Graduate Nurse Opportunities

St. Mary's Healthcare has been providing high-quality, compassionate healthcare to the people of Montgomery and Fulton counties since 1903. At St. Mary's Hospital, the Rao Outpatient Pavilion and other locations, the local, independent healthcare organization offers the comprehensive, critical services its community needs and deserves. St. Mary's Healthcare has also been named a 2026 Times Union Top Workplacethe first acute care hospital in the Capital Region to earn the distinction since the Times Union launched the recognition program 14 years ago.

St. Mary's Healthcare is seeking talented and motivated newly licensed Registered Nurses to join our comprehensive Nurse Residency Program. This structured transition-to-practice program bridges the gap between academic preparation and independent clinical practice through evidence-based curriculum, specialized clinical experiences, and dedicated mentorship.

Our fellowship program offers six distinct specialty tracks designed to develop clinical expertise, foster professional growth, and prepare nurse residents for successful careers in their chosen specialty area. Residents will benefit from a supportive learning environment, structured orientation, ongoing education, and guidance from experienced preceptors, nursing education, and leadership. Each track will have defined milestones and competencies that are completed by skill verification. The total time of the nurse residency will vary dependent upon chosen specialty with a goal of 12-18 months' time of completion.

Nurse residents will apply for one of the following specialty tracks based on their career interests and goals:

Emergency Department (ED): Develop expertise in rapid assessment, triage, emergency interventions, trauma care, and critical decision-making in a fast-paced environment.

Intensive Care Unit (ICU): Master advanced critical care skills including hemodynamic monitoring, ventilator management, complex medication administration, and care of critically ill patients.

Behavioral Health: Specialize in psychiatric nursing, crisis intervention, therapeutic communication, medication management for mental health conditions, and holistic patient care.

Inpatient Medical-Surgical: Build a strong foundation in general nursing care including assessment, medication administration, care coordination, patient education, and management of diverse medical conditions.

Labor and Delivery: Develop expertise in maternal-child nursing, labor support, fetal monitoring, delivery assistance, postpartum care, and newborn assessment.

Perioperative Surgical Services - PACU Focus: Specialize in post-anesthesia care including airway management, pain control, monitoring complications, and safe patient recovery from anesthesia.

Perioperative Surgical Services - OR Focus: Master operating room nursing including sterile technique, surgical instrumentation, circulating and scrub roles, and intraoperative patient care.

Responsibilities:

Provide safe, competent, and compassionate patient care under the guidance of experienced preceptors

Conduct comprehensive patient assessments and develop individualized care plans

Administer medications and treatments in accordance with established protocols and standards

Document patient care accurately and thoroughly in the electronic health record

Demonstrate progressive independence in clinical decision-making throughout residency and continued fellowship

Participate in interdisciplinary rounds and collaborate with the healthcare team

Professional Development:

Actively participate in all residency program educational sessions, workshops, and workshops

Complete specialty-specific competency requirements and skills validations

Engage in reflective practice and evidence-based learning activities

Develop critical thinking and clinical reasoning skills through case studies and simulations

Pursue relevant certifications and continuing education opportunities

Communication and Collaboration:

Communicate effectively with patients, families, and members of the healthcare team

Provide patient and family education regarding diagnoses, treatments, and discharge planning

Demonstrate professional behavior and maintain positive working relationships

Participate in unit-based committees and shared governance activities

Advocate for patient safety and quality improvement initiatives

Complexity of Work: Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.

Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required.

Education: High School Diploma/GED required. Diploma from an accredited school/college of nursing required.

Licensure / Certification / Registration:

Required Credential(s): BLS Provider obtained within 3 Months (90 days) of hire date or job transfer date. Registered Nurse credentialed from the New York Board of Nursing. Must be able to speak, read, write and follow instructions in English.

Required Skills and Attributes:

Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.

Must be able to multitask while remaining professional, focused, composed and positive.

Excellent customer service skills

Displays integrity, friendliness, and compassion.

Must be able to establish an appropriate and effective rapport with others.

Demonstrates flexibility

Takes initiative

Able to work in a fast-paced environment

Embrace new opportunities to grow both personally and professionally.

Effective critical thinking and problem-solving skills.

Proficient with various Microsoft Office products (Word and Excel).

Strong organizational skills.

Effective interpersonal skills.

Ability to take and follow direction in a positive and appropriate manner.

Ability to work as part of a team and independently.

Must be able to demonstrate effective and appropriate written and oral communication skills.

Must be able to speak, read, write and follow instructions in English

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

St. Mary's Healthcare