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Job description
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
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.