On October 14, 2005, an immediately effective Confirmatory Order was issued to confirm commitments made as part of a settlement agreement concerning three separate occasions where the licensee's staff were injected with radiopharmaceuticals without the authorization of an Authorized User. The settlement agreement was reached as a result of an Alternative Dispute Resolution session, held at the request of the licensee. As part of the agreement reached, a Notice of Violation at a Severity Level III with no civil penalty was issued on October 14, 2005. In addition, the licensee has expanded its training program addressing NRC regulatory requirements, and the Chief of Nuclear Medicine, the Radiation Safety Officer, and the Chief Technologist will prepare articles for various medical and health physics journals that address, among other topics, the need to establish an environment and culture that promote regulatory compliance through the implementation of controls and procedures.