Licensed Practical Nurse I

Hours: 75 (12 hours, Rotating, Shift Work; Days, Nights, Weekends)

Salary: CGL29 (CAD30.16 - CAD33.22 per hour)

Competition Number: VAC0030262

Posted Date: 2026-10-16

Closing Date: Open until filled.

Position Summary

The Emergency Department Navigator provides a visible clinical presence within the waiting room environment, with particular attention to ensuring patients remain safe while awaiting treatment. The Navigator is ideally positioned to identify and address common risk experienced by seniors and other vulnerable populations while waiting in the ED. Through ongoing assessment, monitoring for deterioration, falls prevention, patient and family engagement, and coordination with the emergency department team, the Navigator promotes safe, age-friendly emergency care while enhancing patient experience and Emergency Department efficiency.

Definition of Work

The Emergency Department (ED) Navigator is an innovative Licensed Practical Nurse position focused on enhancing patient safety, patient experience, and patient flow within the Emergency Department waiting room. The ED Navigator works collaboratively with triage nurses, charge nurses, physicians, registration staff, and other members of the interdisciplinary healthcare team in the creation of a senior-friendly Emergency Department environment by providing support and monitoring patients awaiting treatment and ensure timely recognition of changing clinical conditions.

Working primarily within the Emergency Department waiting room, the ED Navigator is responsible for monitoring patients who have completed triage, conducting reassessments in accordance with Canadian Triage and Acuity Scale (CTAS) standards, providing individualized support, identifying changes in patient condition, and escalating concerns to the triage or charge nurse as appropriate. The position plays a critical role in supporting patient safety and senior-friendly initiatives through ongoing surveillance and ensuring that patients requiring more urgent attention are identified promptly.

In addition to patient monitoring responsibilities, the ED Navigator serves as a key resource for patients and families by providing communication, comfort measures, reassurance, and support throughout the waiting period. The successful candidate will demonstrate a commitment to person- and family-centered care, patient safety, Senior Friendly Care and service excellence while contributing to a positive Emergency Department experience.

Key Responsibilities

· Monitors patients in the Emergency Department waiting room following completion of the triage process

· Advocates for age-friendly care principles and contributes to a senior-friendly Emergency Department environment.

· Performs reassessments of waiting room patients as needed based on triage RN recommendations and in accordance with CTAS requirements and departmental protocols, including:

o CTAS 2: Every 15 minutes

o CTAS 3: Every 30 minutes

o CTAS 4: Every 60 minutes

o CTAS 5: Every 120 minutes.

· Documents reassessments and patient observations accurately and in a timely manner.

· Identifies, monitors, and responds to changes in patient condition and communicates concerns promptly to the triage and charge nurse.

· Identifies and works to mitigate common risk experienced by seniors while waiting in the ED.

· Promotes mobility, comfort measures, hydration where appropriate, reassurance and orientation, emotional support and assistance with patient needs.

· Collaborate closely with triage and charge nurses to support patient safety and departmental flow.

· Provides patients and families with updates regarding Emergency Department processes, wait times, and delays within approved communication guidelines.

· Acts as a resource and point of contact for patients and families while they are waiting for treatment.

· Utilizes active listening, empathy, de-escalation, and age-friendly and dementia-sensitive communication techniques to support patients and families and address concerns in a respectful and compassionate manner.

· Supports patients who may be considering leaving without being seen (LWBS) by providing information and encouraging them to remain for assessment and treatment.

· Maintains patient confidentiality and adheres to organizational policies, standards, and professional practice guidelines.

· Participate in quality improvement activities, departmental initiatives, senior-friendly initiatives, and ongoing professional development.

Required Qualifications

· Graduation from an approved Practical Nursing Program.

· Current registration and licensure with the Newfoundland and Labrador College of Nurses (NLCN) as a Licensed Practical Nurse.

· Current Basic Life Support (BLS) Certification.

· Demonstrated knowledge of patient assessment, monitoring, and recognition of clinical deterioration.

· Demonstrated ability to work effectively in a fast-paced Emergency Department environment.

· Strong interpersonal, patient relations, communication, conflict-resolution, and customer-service skills.

· Demonstrated ability to communicate effectively with patients, families, physicians, and interdisciplinary team members.

· Demonstrated proficiency with electronic documentation systems.

· Consistent demonstration of the NL Health Services values of Innovation, Compassion, Accountability, Respect, and Excellence (I CARE).

· A satisfactory record of work performance and attendance is required.

· A satisfactory Certificate of Conduct from the RCMP or local police authority is required.

*Experience working with seniors and GPA considered an asset.