A Closer Look at a “Gross” Gap in Protection: What is Missing with CABSI? [virtual]

Includes a Live Web Event on 04/12/2026 at 9:15 AM (EDT)

Catheter-associated bloodstream infection (CABSI) prevention has traditionally focused on 2 primary routes: skin flora migration along the catheter (extraluminal) and contamination introduced through the hub (intraluminal). Yet a third pathway—gross “outside-in” contamination from environmental or body fluids—remains underrecognized and largely absent from current infection-prevention (IP) bundles. The “What is Missing” concept addresses this overlooked pathway, taking a closer look at targeted interventions. This session examines the evidence for this neglected route, its clinical consequences, and the procedural vulnerabilities that permit it. This presentation highlights the urgent need to address this gap in protection and will review practical solutions for clinicians in all settings. Integrating these strategies into vascular access practices supports a systems-based approach to improve infection control to close the gap between ideal protocols and real-world practice. 

Learning Objectives: At the conclusion of this session, learners will be able to:  

  • Identify the 3 primary routes of CABSI, including the underrecognized “outside-in” contamination pathway 
  • Analyze real-world evidence and case data to determine the role of gross environmental contamination in the development of CABSI 
  • Evaluate the limitations of current infection prevention practices and technologies in addressing visible contamination of vascular access components 
  • Recommend practical, system-based interventions to reduce the risk of catheter-related infections in clinical practice 

Contact Hours: 1

CRNI® RUs: 2

Nancy Moureau, PhD, RN, CRNI®, CPUI™, VA-BC

Nancy Moureau, PhD, RN, CRNI®, CPUI, VA-BC, is a globally recognized leader and the founder of PICC Excellence, Inc., a premier provider of education on infusion therapy and vascular access device (VAD) insertion and care for over 3 years. Dr Moureau’s extensive clinical experience includes pediatric, neonatal, intensive care unit (ICU) peripherally inserted central catheter (PICC)/IV teams, and home infusion care.

As CEO of PICC Excellence, she leads the development of over 8 online educational courses and pathways, emphasizing insertion competency and evidence-based practices. Her responsibilities include education development, research, global speaking engagements, legal reviews, manufacturer consulting, and active clinical practice for peripheral and central vascular access.

Dr Moureau pioneered PICC Certification™ (CPUI™) and Neonatal PICC Credentialing (CNPI) programs, validating inserters' education and competency. Most recently, she introduced a systematic UGPIV Mastery Learning Process, an ultrasound-guided peripheral insertion toolbox that earned the Infusion Nurses Society’s (INS) Seal of Approval—the first of its kind.

To connect with Dr Moureau, visit www.piccexcellence.com, or email her at nancy@piccexcellence.com.

Only available as part of a package

Key:

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Webcast
Live event: 04/12/2026 at 9:15 AM (EDT) You must register to access.
Virtual Session Evaluation
The purpose of the Education Program Evaluation is to enable INS to evaluate each educational session and provide feedback to the speaker. You must register to access.
Certificate
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