Website The Settlement Home for Children

The Settlement Home’s mission is to promote healing and growth in children, young adults, and families by providing a continuum of care, support, and resources. We serve individuals with histories of severe trauma, abuse, and neglect.

The Nurse will be responsible for serving the medical needs of campus residents including evaluating children not feeling well for the need to see a doctor, administering seasonal flu shots, performing regular weight checks, participating in weekly medication rounds with consulting psychiatrist and reviewing medication administration records for compliance with the physician’s instructions. In addition, the Nurse will conduct annual staff trainings on medication administration and universal precautions. The Nurse will also be on call to advise staff regarding medication errors and other concerns regarding the health of the residents.


Campus visits at least twice weekly to serve campus residents, with the flexibility of working varied days/hours in order to fulfill the following responsibilities:

Assess and triage children who are not feeling well to evaluate their need to see a doctor.
Administer flu shots seasonally to children, staff, and foster parents.
Perform regular weight checks on children.
Participate in medication rounds weekly with consulting psychiatrist, and observe residents for the effects of the medication and level of dosage.
Enter all medication additions, deletions, and changes into the facility database and distribute highlighted copies of new doctor’s orders to cottages and appropriate staff.
Review medication administration records for proper date, time, and dosage as per the instructions of the physician.
Submit weekly and monthly reports of findings.
Create and place weekly medication orders with the facility pharmacy.
Conduct inventory of expired/discontinued medications to be disposed of, and ensure the disposal of expired over-the-counter medications.
Conduct inventory of and reorder medical supplies as needed i.e. cups and medication bags, and ensure all first aid kits are adequately supplied.
Design and conduct annual staff training on medication administration and universal precautions and other training as needed.
Be on call to advise staff and foster parents as to the health and medication needs of the residents, and during crisis situations, if necessary.
Be on call to advise staff regarding medication errors, and review and sign Medication Incident Reports.
Maintain communication with the treatment staff, foster parents, and other physicians as needed, as related to the needs of the children.
Contact the consulting psychiatrist regarding medication needs and effectiveness if outside the psychiatrist’s regularly scheduled weekly time on campus.
Consult with, train, and advise staff and foster parents regarding first aid, the keeping of medication records, the administration of medication to foster children, and the use of psychotropic medications.
Other duties as assigned by the Medical Coordinator

Required Knowledge, Skills and Abilities

Ability to effectively resolve problems or issues using judgment that is consistent with standards, policies, procedures, regulation, and/or government law
Strong attention to detail, efficient time-management skills
Ability to interface with all levels of the organization
Ability to effectively use organization’s computer systems
Skilled in verbal and written communications
Possesses integrity and compliance – can be relied upon to act ethically
Demonstrates cultural and linguistic competence
Exhibits professional work habits, dress and grooming standards

Qualifications and Education Requirements

Bachelor’s degree in nursing
Current state licensure as a registered nurse
Must be at least 21 years of age
Must meet personnel requirements as outlined by the Texas Department of Family and Protective Services Minimum Standards for Child Placing Agencies
Have a valid driver’s license and less than 2 moving violations and/or 1 accident within the past 3 years
Must have and maintain current auto liability insurance
Must be able to pass pre-employment drug and TB testing.

Preferred Qualifications and Education

Master’s degree in Nursing
Essential Physical Requirements/Working Conditions

Office environment. Must be able to lift and/or exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently. Position frequently involves walking, standing, sitting, stooping, lifting, speaking, and repetitive motion. Position may occasionally involve reaching, kneeling, crouching, and crawling. Must be able to hear so as to receive detailed information through oral communication; receive information through electronic, telephone, and/or radio frequency.

Equal Employment Opportunity Statement

The Settlement Home is an equal opportunity employer who believes diversity creates a healthier environment. We strictly prohibit unlawful discrimination during recruitment, hiring, compensation, promotion, or any other condition of employment, on the basis of race, color, creed, ancestry, national or ethnic origin, religion or belief, sex (including pregnancy), sexual orientation, gender identity or expression, marital status, disability, age, past, present, or prospective military service, medical history or genetic information, socio-economic circumstance, or any other characteristics protected by law. We maintain a drug-free and alcohol-free workplace.


Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.

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