INS Infusion Room podcasts are on-demand audio recordings of infusion-related topics. They are available on the INS LEARNING CENTER and other sites where podcasts are aired.

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  • Season 2 Episode 5: February 24, 2026 | The Hidden Risks of Routine IV Insertion in the Emergency Department
    Contains 0 Component(s)

    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

  • Season 2 Episode 4: February 10, 2026 | Advancing Med-Surg Nursing: Strengthening IV Competency, Collaboration, and New Nurse Support
    Contains 2 Component(s)

    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.

  • Season 2 Episode 3: January 30, 2026 | Expanding Protection Against CABSI and CLABSI
    Contains 2 Component(s)
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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.

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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.

    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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  • Season 2 Episode 2: January 28, 2026 | The Hidden Burden: Tackling CLABSI and CRBSI to Elevate Patient Safety
    Contains 2 Component(s)
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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.

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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.

    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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  • Season 2 Episode 1: January 26, 2026 | From Standards to Practice: Managing Shared Volume and Concurrent Infusions
    Contains 2 Component(s)
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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.

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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.

    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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    Sponsored by:

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  • Season 1 Episode 23: December 30, 2025 - INS Infusion Room: A Year in Review with Dr Marlene Steinheiser
    Contains 2 Component(s)

    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. 

  • Season 1 Episode 22: December 16, 2025 - ECG for PICC Tip Confirmation: Louisiana’s Practice Shift You Need to Hear About
    Contains 2 Component(s)

    In this episode of the INS Infusion Room, host Derek speaks with Carla Dillard about her extensive experience in nursing and the recent changes in the scope of practice for nurses in Louisiana. They discuss the introduction of electrocardiogram (ECG) technology for confirming catheter placements, the challenges faced in advocating for this change, and the successful presentation to the Louisiana Board of Nursing. Ms Dillard emphasizes the importance of data-driven advocacy and collaboration among nurses to improve patient care and outcomes.

    In this episode of the INS Infusion Room, host Derek speaks with Carla Dillard about her extensive experience in nursing and the recent changes in the scope of practice for nurses in Louisiana. They discuss the introduction of electrocardiogram (ECG) technology for confirming catheter placements, the challenges faced in advocating for this change, and the successful presentation to the Louisiana Board of Nursing. Ms Dillard emphasizes the importance of data-driven advocacy and collaboration among nurses to improve patient care and outcomes.

    Carla Dillard, MSN, RN, VA-BC

    Senior Clinical Advisor

    Dynamic Access

    Carla Dillard, MSN, RN, VA-BC, is the Senior Clinical Advisor for Dynamic Access and Dynamic Infusion, a specialty she has embraced since 2005. Dynamic Access is committed to delivering vital vascular access services across various settings, including acute care facilities, long-term care centers, and nursing homes, serving organizations in 24 states across the United States. Over the course of her career, she has been fortunate to assume various leadership positions, enabling her to make significant contributions to her organization's clinical, operational, and educational initiatives.
    Before joining Dynamic, Ms Dillard worked as a registered nurse in acute care emergency and intensive care units. She established an educational company in 2013 to address deficiencies in clinical bedside care. She remains dedicated to bridging these gaps motivated by her passion for education.
    Ms Dillard started her educational journey in 1986 as a medical assistant. She then went on to earn her Associate Degree in Nursing (ADN) from Collin College of Nursing, her Bachelor of Science in Nursing (BSN), and her Master of Science in Nursing from the University of Texas at Arlington College of Nursing.

    Host: Derek Fox, MSN, RN, VA-BC, CRNI®, NEA-BC

    Guest: Carla Dillard, MSN, RN, VA-BC

    In this episode of the INS Infusion Room, host Derek speaks with Carla Dillard about her extensive experience in nursing and the recent changes in the scope of practice for nurses in Louisiana. They discuss the introduction of electrocardiogram (ECG) technology for confirming catheter placements, the challenges faced in advocating for this change, and the successful presentation to the Louisiana Board of Nursing. Ms Dillard emphasizes the importance of data-driven advocacy and collaboration among nurses to improve patient care and outcomes.