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Pediatric LPN RN

First Step Nursing And Therapy Services PLLC

Cibolo, TX 78108 • $22.00 to $39.00 / hr • 10/9/2026

Job Description

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, 12:00 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

Apply today to join a team that values compassionate care, consistency, and supporting our nurses every step of the way.