Pediatric LVN RN 78108

First Steps Nursing and Therapy is seeking a compassionate Licensed Vocational Nurse (LVN) or Registered Nurse (RN) to provide one-on-one care for a pediatric patient in the home setting in the Cibolo area.

Case Details

• Patient: 22-year-old male

• Care Needs: Tracheostomy and ventilator care; ambulatory (High Acuity)

• Schedule: Sunday, 12:0 PM–8:00 PM

• Patient: 19-year-old female

• Care Needs: G-tube, oxygen, and breathing treatments; legally blind and non-ambulatory (Low Acuity)

• Schedule: Saturday and Sunday, 7:00 AM–5:00 PM

• Patient: 9-year-old female

• Care Needs: Tracheostomy, ventilator, and G-tube care; non-ambulatory (High Acuity)

• Schedule: Saturday, 6:00 AM–6:00 PM

Responsibilities

• Provide direct, hands-on care to assigned patient

• Assess patient condition and document observations

• Administer prescribed medications, treatments, and therapies

• Monitor and manage GJ tube and oxygen needs

• Perform vital signs and ongoing assessments

• Communicate changes in condition to supervisor and/or physician

• Educate and support family members and caregivers

• Complete accurate and timely documentation in EMR system

Requirements

• Active Texas RN or LVN license (unencumbered)

• Current CPR certification

• Reliable transportation

• Ability to perform physical tasks (lifting, standing, transfers)

• Pediatric experience preferred but not required

• Training provided

Working Conditions

• Provide care in the patient’s home environment

• Possible exposure to blood, bodily fluids, and infectious diseases

• Ability to work flexible schedules and respond to patient needs

• May require travel within local service area

Physical & Mental Requirements

• Ability to stand, walk, and lift patients as needed

• Ability to work in a fast-paced and sometimes high-stress environment

• Strong attention to detail and ability to make timely decisions

Why First Steps Nursing and Therapy

• One-on-one patient care

• Flexible scheduling opportunities

• Supportive and responsive office team

• Ongoing training and development

• Meaningful work with pediatric patients

Benefits

• Weekly direct deposit

• Health, dental, and vision insurance

• Supplemental insurance options

• 401(k) for eligible employees

• 24/7 on‑call support