Josh was told that his patient was having an irregular heartbeat throughout the day. Josh was curious about this since the patient was a young man with no previous cardiac history. He believed that the patient’s PICC line had moved and could be causing the irregular rhythm. Josh called the Attending physician and asked for a stat chest x-ray to confirm placement of the PICC line. The x-ray showed that the PICC line was malpositioned and needed to be pulled back. The Attending physician was notified and the PICC line was adjusted. The patient had no further episodes of an irregular heartbeat.