Weekend LPN - Enhanced Harm Reduction

AVI HEALTH & COMMUNITY SERVICES (AVI) is a multi-disciplinary community based organisation providing HIV, hepatitis C and harm reduction services out of 5 locations across Vancouver Island. AVI provides services to people living with HIV and hepatitis C and harm reduction clients. We take evidence-based action to prevent infection, provide support, and reduce stigma. We work within a social justice and health promotion framework to ensure equity and access to services for all.  At the core of what we do is our ability, and commitment to, creating meaningful connections. Every day, we strive to create meaningful connections between clients and staff, between peers, between staff members, between organizations, between communities, and between funders and impactful programs. For more info see www.avi.org

The ENHANCED HARM REDUCTION SERVICE (EHR) is a new program operating out of our Community Health Centre in Nanaimo. The EHR is a flexible, community‐based, harm reduction program that will provide pharmaceutical alternatives to the toxic street drug supply along with wrap around supports.  Our services are delivered across the traditional territories of the Snuneymuxw, Stz’uminus, and Snaw'naw'as People.


The Licensed Practical Nurse (LPN) position will work in the Enhanced Harm Reduction Service centre providing safer, pharmaceutical alternatives to the currently toxic drug supply. This program operates in conjunction with AVI’s existing programs and services, including primary care and substance use services, the Positive Wellness Program for people living with or at risk of HIV/hepatitis C, health promotion education, youth advocacy and outreach, and drop-in harm reduction services.

The LPN will work in partnership with an interdisciplinary team to provide person centered healthcare including assessment, screening, and education to support clients who are accessing the program. The LPN will use a harm reduction, trauma informed approach and clinical skills to independently assess individuals with complex primary care health needs and active poly-substance use. This position requires a professional who is experienced with harm reduction and requires a commitment to collaboration with multiple stakeholders including, first and foremost, people with lived/living experience of criminalized drug use.

The successful candidate will embody a philosophy and practice of collaboration, while working from a relational perspective that upholds values of harm reduction, empathy, social justice, cultural humility, and trauma informed care. The LPN will report to the Clinical Nurse Lead.


  1. Provide care and support for individuals with high levels of poly-substance use and a variety and complexity of acute and chronic conditions, related but not exclusive to conditions of poverty and criminalization.
  2. Work both independently and collaboratively with team to support people contemplating or accessing pharmaceutical alternatives to illegal/toxic substances in a variety of settings, such as parks, drop-in centers, shelters, supported housing units, OPS/SCS, etc.
  3. Provide care, assessment, screening, education, referrals, and advocacy regarding substance use, acute and chronic health concerns, mental health, sexual health, wound management, and general wellness, including primary and specialist care, substance use services, diagnostic and laboratory services, and medication management.
  4. Provide harm reduction support through collaborative risk reduction strategy, education, distribution of harm reduction supplies, and overdose prevention education including Naloxone training and distribution.
  5. Collaborate with participants and the team to develop and maintain individualized care plans, providing ongoing monitoring and support with participants in accordance with their specific care plans.
  6. Provide education, information and appropriate referrals that are responsive to the self-identified needs of participants to manage their health, enhance understanding of their health status, and navigate through the various services and community supports related to their care.
  7. Provide screening and assessment and administer medications as ordered by program physicians.
  8. Work with community partners to ensure seamless support of program participants.
  9. Participate in staff meetings, trainings, educational forums, and engagement in community building and networking.
  10. Performs other duties as assigned.


  • Licensed Practical Nurse designation from an accredited institution and current full registration with the BC College of Nurses and Midwives.
  • Minimum 2-3 years of nursing experience working with people with high levels of poly-substance use and mental health challenges.
  • Previous experience working in supervised consumption/overdose prevention services or safer supply programs, including experience responding to medical emergencies such as overdose (naloxone administration, airway management, etc).
  • Strong knowledge of substance use disorder and opiate agonist treatment options.
  • Demonstrated practice of social justice, anti-racism, decolonization and trauma-informed care.
  • Demonstrated understanding of public health and equity-oriented models of social support and health care.  
  • Commitment to harm reduction principles and practice, with experience working alongside coworkers and program participants who experience intersecting systemic oppression.
  • Commitment to honoring Indigenous communities and ways of knowing, while approaching learning about the ongoing impacts of colonial violence with humility.
  • Understanding of how systemic barriers associated with poverty, mental health, substance use, trauma, racism, colonialism, heterosexism, and gender discrimination impact individual health and well-being, as well as service delivery provision.
  • Demonstrated skills, experience, and knowledge in the areas of primary care, substance use, harm reduction, HIV, HCV, sexual health, mental health and health promotion.
  • Demonstrated commitment to person-centered healthcare service provision.
  • Works well under pressure in a dynamic environment.
  • Capable, independent practitioner and committed team member.
  • Excellent communication, conflict resolution and crisis management skills.


  • Physical ability to carry out the duties of the position and operate related equipment.
  • Ability to establish and maintain respectful rapport with participants.
  • Ability to observe and recognize subtle changes in participants.
  • Strong advocacy and networking skills.
  • Ability to work independently and as part of a multidisciplinary team.
  • Ability to communicate effectively, both verbal and written.
  • Ability to organize and prioritize workload.
  • Ability to use related equipment including computer to complete documentation, data, and reports using Electronic Medical Records (EMR).
  • Practiced conflict resolution and non-violent crisis intervention skills.


  • Pay: per BCNU pay grid, Level 1 (LPN)
  • Hours and Schedule: 12 hours per week: Fridays 9:45 am to 6:00 pm; Saturdays 9:45 am to 2 pm. Hours will likely increase in the future based on the program expanding to full Saturdays or other schedule changes. NOTE: If this role becomes 15 hours or more per week in the future, it will be eligible for the pension and Blue Cross benefits.
  • End Date: March 31, 2024
  • Union: AVI is a union environment under the Collective Agreement: HEABC & Health Services & Support Community Subsector Association 2019-2022 and this role is an Excluded Position.
  • Pension: If you are already a member of the Municipal Pension Plan (MPP), you can continue with them at AVI immediately.  At this time, AVI contributes an additional 9.31% towards your pension account.
  • Other Perks: This position gets paid an extra 5% in lieu of vacation and 5% in lieu of stats, meaning your hourly rate is actually 10% higher than listed
  • Proof of Vaccination Required: AVI is under BC's Health Services Order and continues to require proof of vaccination and masking.
  • Hours of Work, Days Off and Work Area may be subject to change.


Please apply by sending your resume to jobs@avi.org This posting is open until filled.

We strongly encourage applications from, but not limited to, folks who are living with or at risk of HIV, who identify as Indigenous, as a person of colour, as a person who is racialized, as a person living with a disability, as a person who uses or used drugs, as a person with experience engaging in sex work, as a person who lives with HCV, and/or persons who represent a diversity of sexual orientations and genders.

Accommodations are available on request for candidates taking part in all aspects of the selection process.

We would like to thank all those that apply but only those selected for an interview will be contacted.