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Care teams do their best work when they’re aligned—but growing complexity can make that difficult. Multiple systems, evolving workflows, and increasing daily pressures often pull teams in different directions. In this conversation with Mikaela Olsen, DNP, APRN‑CNS, AOCNS®, FAAN (Clinical Program Director, Johns Hopkins) and Blake Shay, PharmD, MS, BCPS (Pharmacy Leader, BayCare), we will explore real‑world workflow challenges and practical approaches for building alignment, improving communication, and creating more predictable processes—because every moment in care counts.
Sponsored by BD
Care teams do their best work when they’re aligned—but growing complexity can make that difficult. Multiple systems, evolving workflows, and increasing daily pressures often pull teams in different directions. In this conversation with Mikaela Olsen, DNP, APRN‑CNS, AOCNS®, FAAN (Clinical Program Director, Johns Hopkins) and Blake Shay, PharmD, MS, BCPS (Pharmacy Leader, BayCare), we will explore real‑world workflow challenges and practical approaches for building alignment, improving communication, and creating more predictable processes—because every moment in care counts.
Sponsored by BD
MiKaela M. Olsen, DNP, APRN-CNS, AOCNS®, FAAN
Clinical Program Director for Oncology
Johns Hopkins Hospital and the Johns Hopkins Health System
MiKaela M. Olsen, DNP, APRN-CNS, AOCNS®, FAAN, serves as the Clinical Program Director for Oncology at Johns Hopkins Hospital and the Johns Hopkins Health System. In this role, she partners with oncology nurse leaders, physician leaders, and frontline clinical staff to advance best practices and ensure seamless coordination of care across the health system. She also works closely with oncology service line leadership to align core competencies and harmonize standards of care throughout the Johns Hopkins Cancer service line.
Dr Olsen holds academic appointments as Adjunct Faculty at the Johns Hopkins School of Nursing and Faculty Associate at the University of Maryland School of Nursing.
She co-chairs the Johns Hopkins Health System Venous Access Device Committees and the central line-associated bloodstream infection (CLABSI) Reduction Committee. Additionally, she is the lead editor of the Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice, 2nd Edition (2023) and the Safe Handling of Hazardous Drugs, 4th Edition (2024). Dr Olsen is the co-chair of the American Society of Clinical Oncology/Oncology Nursing Society (ASCO ONS) Antineoplastic Administration Standards (2025). Her scholarship includes numerous publications and presentations on the safe handling of hazardous drugs and the occupational risks faced by health care workers, antineoplastic drug administration and side effect management, central vascular access devices, and prevention of infection.
As an instructor and consultant, Dr Olsen has shared her expertise internationally, traveling to Singapore, the UAE, China, Bulgaria, and Japan to strengthen nursing education in oncology and to raise global awareness of hazardous drug exposure risks and safe handling practices.
Blake Shay, PharmD, MS
Pharmacy Manager
St. Joseph’s Women’s and Children’s Hospital / Baycare
Blake Shay, PharmD, MS, is the Pharmacy Manager at St. Joseph’s Women’s and Children’s Hospital in Tampa, Florida. He oversees the Department of Pharmacy for both Women’s and Children’s service lines, including pediatric oncology, infusion services, and the St. Joseph’s Hemophilia Treatment Center. Additionally, Dr Shay co-coordinates the Health-System Pharmacy Administration and Leadership (HSPAL) residency program at BayCare.
As a pharmacy innovator, he co-founded EnOPrep, a sealed system designed for the safe crushing and dissolving of hazardous medications at the point of care for oral and enteral administration. He is an active member of American Society of Health System Pharmacists (ASHP) and Florida Society of Health System Pharmacists (FSHP), has published extensively on hazardous drug safety, and consults as a content expert for gene and cell therapy site readiness.
Appointed by the state of Florida to the Rare Disease Advisory Council, Dr Shay advises the Florida Department of Health on improving health outcomes for individuals with rare diseases. He also serves on the Mercer University College of Pharmacy Alumni Board of Directors. His practice interests include gene and cell therapies, specialty pharmacy, facility design, and hazardous drug safety.
Host: Derek Fox, MSN, RN, VA-BC, CRNI®, NEA-BC
Guests: Mikaela Olsen, DNP, APRN-CNS, AOCNS®, FAAN – Clinical Program Director, Johns Hopkins & Blake Shay, PharmD, MS, BCPS – Pharmacy Leader, BayCare
Care teams do their best work when they’re aligned—but growing complexity can make that difficult. Multiple systems, evolving workflows, and increasing daily pressures often pull teams in different directions. In this conversation with Mikaela Olsen, DNP, APRN‑CNS, AOCNS®, FAAN (Clinical Program Director, Johns Hopkins) and Blake Shay, PharmD, MS, BCPS (Pharmacy Leader, BayCare), we will explore real‑world workflow challenges and practical approaches for building alignment, improving communication, and creating more predictable processes—because every moment in care counts.
Sponsored by BD
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In this episode, Dr Grace Xu discusses the critical role of peripheral intravenous catheters (PIVCs) in emergency departments, highlighting the challenges and current practices in insertion techniques. With over 20 years of experience, Dr Xu emphasizes the need for improved training, patient involvement, and evidence-based practices to enhance patient care and reduce complications associated with PIVC insertions. The conversation covers the importance of understanding the unique challenges faced by patients with difficult venous access and the need for a systematic approach to improve outcomes in emergency care.
In this episode, Dr Grace Xu discusses the critical role of peripheral intravenous catheters (PIVCs) in emergency departments, highlighting the challenges and current practices in insertion techniques. With over 20 years of experience, Dr Xu emphasizes the need for improved training, patient involvement, and evidence-based practices to enhance patient care and reduce complications associated with PIVC insertions. The conversation covers the importance of understanding the unique challenges faced by patients with difficult venous access and the need for a systematic approach to improve outcomes in emergency care.
Grace Xu, Phd, RN,
Dr Grace (Hui) Xu, NP, PhD, is a Nurse Practitioner at an Emergency Trauma Center in Queensland, Australia, and a Senior Implementation Science Research Fellow at the Queensland University of Technology. As a Clinician-Researcher, Dr Xu is dedicated to the core belief that patients in emergency departments should receive medical treatment without any associated harm.
Her work focuses on advocating and promoting evidence-based practices in patient care, with a particular emphasis on optimizing insertions and preventing complications associated with vascular access devices in emergency settings.
Host: Derek Fox, MSN, RN, VA-BC, CRNI®, NEA-BC
Guest: Grace Xu, Phd, RN,
In this episode, Dr Grace Xu discusses the critical role of peripheral intravenous catheters (PIVCs) in emergency departments, highlighting the challenges and current practices in insertion techniques. With over 20 years of experience, Dr Xu emphasizes the need for improved training, patient involvement, and evidence-based practices to enhance patient care and reduce complications associated with PIVC insertions. The conversation covers the importance of understanding the unique challenges faced by patients with difficult venous access and the need for a systematic approach to improve outcomes in emergency care.
References
Xu H, Bowdery J, To Y, Duff J, Griffin B, Ullman AJ, Rickard CM, Plummer K. Peripheral intravenous catheter clinical care standard adherence in emergency departments: a qualitative study underpinned by the behaviour change wheel. J Adv Nurs. 2024;00:1–15. doi:10.1111/jan.16409
Xu HG, Doubrovsky A, Rickard CM, Rockliff L, Tang C, Ullman AJ. Peripheral intravenous catheter care at Australian emergency departments: a cross-sectional observational study. J Adv Nurs. 2025;81(12):8597-8607. doi:10.1111/jan.16810
Xu HG, Doubrovsky A, Robinson N, Rickard C, Ray-Barruel G. Mismatch between antecubital peripheral intravenous catheter insertion and contrast CT use in the emergency department: a retrospective analysis. Emerg Med Australas. 2026;38(1):e70208. doi:10.1111/1742-6723.70208
Xu HG, Rickard CM, Takashima M, Butterfield M, Pink E, Ullman AJ. Exploring Australian emergency department clinicians’ knowledge, attitudes and adherence to the national peripheral intravenous catheter clinical care standard: a cross-sectional national survey. Emerg Med Australas. 2023;35(5):759-770. doi:10.1111/1742-6723.14214
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In this conversation, Kristi Reguin-Hartman, president of the Academy of Medical-Surgical Nurses, and Hayley Sweetser, co-host of the Academy of Medical-Surgical Nurses (AMSN) podcast, explore the challenges new nurses face in IV management. They discuss the critical role of hands-on practice, the value of interdisciplinary collaboration across nursing specialties, and the importance of strong patient education and communication, particularly between emergency departments and medical-surgical units.
The conversation also addresses ongoing staffing challenges and underscores the need to build and maintain IV therapy competencies. Additionally, Ms Sweetser and Dr Reguin-Hartman highlight opportunities for future collaboration between organizations to strengthen nursing practice and improve patient outcomes.
In this conversation, Kristi Reguin-Hartman, president of the Academy of Medical-Surgical Nurses, and Hayley Sweetser, co-host of the Academy of Medical-Surgical Nurses (AMSN) podcast, explore the challenges new nurses face in IV management. They discuss the critical role of hands-on practice, the value of interdisciplinary collaboration across nursing specialties, and the importance of strong patient education and communication, particularly between emergency departments and medical-surgical units.
The conversation also addresses ongoing staffing challenges and underscores the need to build and maintain IV therapy competencies. Additionally, Ms Sweetser and Dr Reguin-Hartman highlight opportunities for future collaboration between organizations to strengthen nursing practice and improve patient outcomes.
Kristi Reguin-Hartman, DNP, APRN, ACNS-BC
Kristi Reguin-Hartman, DNP, APRN, ACNS-BC, has more than 20 years of experience in acute care nursing, professional development, and advanced practice as a Clinical Nurse Specialist. Her expertise in technology implementation, product management, and clinical education drives her focus on streamlining workflows through data-driven approaches. She started her nursing journey with an ADN from Nassau Community College in Long Island, New York, and has completed her Doctor of Nursing Practice at the University of North Carolina – Wilmington. Dr Reguin-Hartman currently works as a Clinical Transformation Manager for Philips Healthcare in the Hospital Patient Monitoring division and as Clinical Instructor with East Carolina University. She volunteers for the North Carolina Nurses Association and has volunteered for the Academy of Medical-Surgical Nurses (AMSN) since 2012. She is currently in the second year of her 2-year term as AMSN President.
Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C,
Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C, is a Clinical Nurse Specialist in Newark, Delaware, who provides support to patients and caregivers within an acute medicine service line. She has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. In her current position, Ms Sweetser is working toward reducing overall patient harm events, improving nursing professional practice, standardizing care processes, and fostering a culture of safety through interdisciplinary collaboration. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. One of the exciting ways that she gets to communicate best practices is on the Academy of Medical-Surgical Nurses (AMSN’s) Med-Surg Moments podcast.
Host: Derek Fox, MSN, RN, VA-BC, CRNI®, NEA-BC
Guests: Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ and Kristi Reguin-Hartman, DNP, APRN, ACNS-BC
In this conversation, Kristi Reguin-Hartman, president of the Academy of Medical-Surgical Nurses, and Hayley Sweetser, co-host of the Academy of Medical-Surgical Nurses (AMSN) podcast, explore the challenges new nurses face in IV management. They discuss the critical role of hands-on practice, the value of interdisciplinary collaboration across nursing specialties, and the importance of strong patient education and communication, particularly between emergency departments and medical-surgical units.
The conversation also addresses ongoing staffing challenges and underscores the need to build and maintain IV therapy competencies. Additionally, Ms Sweetser and Dr Reguin-Hartman highlight opportunities for future collaboration between organizations to strengthen nursing practice and improve patient outcomes.
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In this episode, DJ Shannon, an infection preventionist, discusses the challenges and advancements in preventing catheter-associated bloodstream infections (CLABSIs) and catheter-associated bloodstream infections (CABSI). The conversation covers persistent challenges faced by clinicians, the impact of bloodstream infections on health care systems, evolving standards in infection prevention, and the importance of collaboration among health care professionals. Mr Shannon also highlights innovations in vascular access protection and the significance of clinician confidence in adopting new practices.
In this episode, DJ Shannon, an infection preventionist, discusses the challenges and advancements in preventing catheter-associated bloodstream infections (CLABSIs) and catheter-associated bloodstream infections (CABSI). The conversation covers persistent challenges faced by clinicians, the impact of bloodstream infections on health care systems, evolving standards in infection prevention, and the importance of collaboration among health care professionals. Mr Shannon also highlights innovations in vascular access protection and the significance of clinician confidence in adopting new practices.
DJ Shannon, MPH, CIC, VA-BC, AL-CIP, FAPIC
DJ Shannon, MPH, CIC, VA-BC, AL-CIP, FAPIC, has been involved in infection prevention and infectious diseases for over a decade, with experience spanning research, state public health, academics, and acute care hospitals. With a background in human biology and epidemiology, his focus is on the intersection of antimicrobial resistance, device-associated infections, and infection prevention. Mr Shannon is the 2025 Immediate Past President of Association for Professionals in Infection Control and Epidemiology (APIC) Indiana. He was a clinical reviewer for the 2021 INS Infusion Therapy Standards of Practice and a co-author of the Association for Vascular Access (AVA) Standards of Care for Peripheral Intravenous Catheters. Most recently, he served as the lead author for the APIC Implementation Guide for Preventing Catheter-Associated Bloodstream Infections (CABSIs) in Adults.
Host: Derek Fox, MSN, RN, VA-BC, CRNI®, NEA-BC
Guest: DJ Shannon, MPH, CIC, VA-BC, FAPIC
In this episode, DJ Shannon, an infection preventionist, discusses the challenges and advancements in preventing central line-associated bloodstream infections (CLABSIs) and catheter-associated bloodstream infections (CABSI). The conversation covers persistent challenges faced by clinicians, the impact of bloodstream infections on health care systems, evolving standards in infection prevention, and the importance of collaboration among health care professionals. Mr Shannon also highlights innovations in vascular access protection and the significance of clinician confidence in adopting new practices.
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In this episode of the INS Infusion Room, Dr Nathan Gilmore discusses the burden of central line-associated bloodstream infections (CLABSIs) and catheter-related bloodstream infections (CRBSIs), emphasizing the importance of sterile procedures and teamwork in preventing these infections. He shares insights on the impact of these infections on health care costs, patient outcomes, and the role of technology and education in reducing infection rates. Dr Gilmore also highlights the significance of maintaining a culture of zero CLABSIs and the collaborative efforts needed to achieve this goal.
In this episode of the INS Infusion Room, Dr Nathan Gilmore discusses the burden of central line-associated bloodstream infections (CLABSIs) and catheter-related bloodstream infections (CRBSIs), emphasizing the importance of sterile procedures and teamwork in preventing these infections. He shares insights on the impact of these infections on health care costs, patient outcomes, and the role of technology and education in reducing infection rates. Dr Gilmore also highlights the significance of maintaining a culture of zero CLABSIs and the collaborative efforts needed to achieve this goal.
Nathan Gilmore, MD, MBA
Nate Gilmore, MD, MBA, has been Chief of Service for Critical Care at Hoag Hospital, with Newport Critical Care in Newport Beach, California since 2019. He coordinates and manages continuous improvement of intensive care services for Hoag and develops treatment algorithms, cost and acuity assessments, and outcomes analyses. He is Assistant in Quality Improvement for Hoag Hospital.
Dr Gilmore is American Board of Emergency Medicine (ABEM)-certified in Emergency Medicine and Critical Care. He received his Doctor of Medicine in 2007; he completed his post-graduate residency in emergency medicine at University of Pittsburgh, and then a multidisciplinary Critical Care Fellowship in 2013 at the University of Florida.
Dr Gilmore earned his Executive MBA at the Marriott School of Management at Brigham Young University in June 2017. He has served as Medical Director for the Hoag Academy Improvement Course since April 2018 and as Medical Director and Professor of American Career College Respiratory Therapy since 2015.
Dr Gilmore has been actively involved in research, including recent publication on dialysis efficiency and catheter selection. He has also researched respiratory monitoring and ventilator weaning protocols; refractory hypoxemia treatment management; and computerized sepsis algorithm.
Dr Gilmore is a member of the Hospital Quality Board, Clinical Excellence Committee, Centers for Medicare & Medicaid Services (CMS) Reporting Committee, Infection Prevention Committee, Blood Bank Utilization Committee, and COVID-19 Response Leadership Council. He is responsible for the creation and introduction of Hoag Academy Training in Quality Improvement and also developing and refining curriculum, delivery, and coordinating improvement teams and strategies.
Dr Gilmore works with the CMS Bundled Payment program with diagnosis related group (DRG) population-based care management. He is the Physician Leader for the Multi-disciplinary central line-associated bloodstream infection (CLABSI) Elimination Team: 24 in 2016 to ZERO for 2017, 2018 (and again currently).
Host: Derek Fox, MSN, RN, VA-BC, CRNI®, NEA-BC
Guest: Dr Nathan Gilmore, MD, MBA
In this episode of the INS Infusion Room, Dr Nathan Gilmore discusses the burden of central line-associated bloodstream infections (CLABSIs) and catheter-related bloodstream infections (CRBSIs), emphasizing the importance of sterile procedures and teamwork in preventing these infections. He shares insights on the impact of these infections on health care costs, patient outcomes, and the role of technology and education in reducing infection rates. Dr Gilmore also highlights the significance of maintaining a culture of zero CLABSIs and the collaborative efforts needed to achieve this goal.
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In this episode of the INS Infusion Room, Barb Nickel discusses the critical topics of concurrent flow and shared volume in infusion therapy. She emphasizes the importance of understanding these concepts for patient safety, particularly in critical care settings. The conversation covers the risks associated with concurrent flow, the standards and best practices in infusion therapy, and the significance of pump function and medication delivery. Ms Nickel also highlights the need for better education among nurses regarding tubing characteristics and the management of peripheral IVs. The episode concludes with a call to action for clinicians to advocate for optimal patient care and to implement best practices in their daily routines.
In this episode of the INS Infusion Room, Barb Nickel discusses the critical topics of concurrent flow and shared volume in infusion therapy. She emphasizes the importance of understanding these concepts for patient safety, particularly in critical care settings. The conversation covers the risks associated with concurrent flow, the standards and best practices in infusion therapy, and the significance of pump function and medication delivery. Ms Nickel also highlights the need for better education among nurses regarding tubing characteristics and the management of peripheral IVs. The episode concludes with a call to action for clinicians to advocate for optimal patient care and to implement best practices in their daily routines.
Barb Nickel, APRN-CNS, CCRN, CRNI®
Clinical Nurse Specialist
CommonSpirit Health
Barb Nickel, APRN-CNS, CCRN, CRNI® is a Clinical Nurse Specialist at a large health care system in the United States, responsible for staff development and process improvement to optimize outcomes in multiple areas of clinical practice, including critical care, infusion therapy, sepsis, and new graduate transition to practice. Ms Nickel has presented nationally and internationally and published in several peer-review journals on infusion-related topics. She was the chair of the 2024 INS Infusion Therapy Standards of Practice Committee, and is now chair of the 2027 Standards Committee. She also serves as Adjunct Research Fellow for Griffith University, Queensland, Australia.
Host: Derek Fox, MSN, RN, VA-BC, CRNI®, NEA-BC
Guest: Barb Nickel, MSN, APRN-CNS, CRNI®, CCRN
In this episode of the INS Infusion Room, Barb Nickel discusses the critical topics of concurrent flow and shared volume in infusion therapy. She emphasizes the importance of understanding these concepts for patient safety, particularly in critical care settings. The conversation covers the risks associated with concurrent flow, the standards and best practices in infusion therapy, and the significance of pump function and medication delivery. Ms Nickel also highlights the need for better education among nurses regarding tubing characteristics and the management of peripheral IVs. The episode concludes with a call to action for clinicians to advocate for optimal patient care and to implement best practices in their daily routines.
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In this episode of the INS Infusion Room, Dr Marlene Steinheiser, Chief Clinical Officer at INS, joins the host to discuss the achievements and initiatives of the past year, as well as future plans for the organization. The conversation covers collaborations with various associations, the importance of vascular access, and the impact of educational programs. Enjoy the recap of the best moments of Season 1 as Dr Steinheiser and Derek prepare for the start of Season 2.
In this episode of the INS Infusion Room, Dr Marlene Steinheiser, Chief Clinical Officer at INS, joins the host to discuss the achievements and initiatives of the past year, as well as future plans for the organization. The conversation covers collaborations with various associations, the importance of vascular access, and the impact of educational programs. Enjoy the recap of the best moments of Season 1 as Dr Steinheiser and Derek prepare for the start of Season 2.
Marlene Steinheiser, PhD, RN, CRNI®
Dr Marlene Steinheiser, Chief Clinical Officer at INS, is responsible for supporting the vision and mission of the organization nationally and globally, which includes strategic planning and development of new programs, research, and education. Additionally, she provides leadership and oversight for the Editor-in-Chief of the Journal of Infusion Nursing and the Editor in Chief of the Infusion Therapy Standards of Practice, ensuring alignment with the organization’s strategic vision and publication standards.
Dr Steinheiser has been a CRNI® since 1991 and has 39 years of nursing experience. Her background includes work in diverse clinical settings, faculty roles in both pre-licensure and post-licensure nursing education, and service as a nurse practice consultant for a state nursing regulatory board. Her passion for infusion therapy and vascular access has been integrated into each of her varied career roles.
Dr Steinheiser holds a PhD from the University of Arizona, a master’s degree and a Bachelor of Science in nursing from the University of Akron, and a nursing diploma from Cleveland Metropolitan General Hospital School of Nursing. She conducts research on infusion therapy and vascular access topics, with a particular interest in mixed methods research and qualitative data analysis. She also presents nationally and internationally on infusion therapy and vascular access topics.
Host: Derek Fox, MSN, RN, VA-BC, CRNI®, NEA-BC
Guest: Marlene Steinheiser, PhD, RN, CRNI®
In this episode of the INS Infusion Room, Dr Marlene Steinheiser, Chief Clinical Officer at INS, joins the host to discuss the achievements and initiatives of the past year, as well as future plans for the organization. The conversation covers collaborations with various associations, the importance of vascular access, and the impact of educational programs. Enjoy the recap of the best moments of Season 1 as Dr Steinheiser and Derek prepare for the start of Season 2.
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