Wanted to get input on current issue with a patient. Patient was admitted from another facility with her port accessed. Port was placed at a different facility "several years ago" according to pt. When reviewing her films, catheter tip was noted to be in R ventricle?! Pt has extensive medical history. Stage 4 cancer, history of L brachiocephalic occlusion with stenting and apparently SVC syndrome with stenting of the R IJ and SVC. My question is this. Is this acceptable due to complicated medical history? Obviously optimal positioning is lower 3rd SVC/ cavoatrial junction. And yes, I seen lines placed by radiologists with tips in R atrium. But I have never seen a ventricular placement and quite frankly, very uncomfortable with the tip there and didn't want the bedside RN using it. Pt was receiveing Cardizem gtt and Vancomycin.--oh, was on the Cardizem for A fib with RVR!!! I spoke to one of our radiology MD's who didn't understand my concern. However, I finally did get him to concede that it needed a revision. So we stopped using the port and I placed a couple of INP's. Is this ever OK??? Shouldn't there be some sort of order from the MD stating why it was placed there? Would that be acceptable for the nurses to then use the port? I appreciate any input.