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Nurses

Pediatric LPN RN

  • LPN / LVN license

Open in 2 locations

First Step Nursing and Therapy Services posts this job separately for each location. Apply to the one where you can work: the unit, shifts, schedule and pay can differ between locations.

Texas

2 open

How this pay compares

This posting states $22–$39 an hour. Open licensed practical nurse jobs in Texas post a median of $28 an hour, the middle half $27.46–$30.38, across 140 jobs that state their pay, so this one is above the middle half of what they post. Licensed practical nurses employed in Texas earn a median of $29.92 an hour, according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).

Licensed practical nurses in Texas: pay by town and employer

The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly

About the job

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.

From First Step Nursing and Therapy Services's job posting for Cibolo, TX, checked Oct 29, 2026. The employer's own page is the final word on requirements and availability.

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About First Step Nursing and Therapy Services

First Step Nursing and Therapy Services hires nurses and therapists in San Antonio, Converse and other towns in Texas.

Hires in TexasPay on its listings: 72.2% of its open jobs state an hourly rate

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