On October 7, 2020, the NRC issued an NOV and proposed imposition of a CP in the amount of $7,500 to St. Joseph Regional Medical Center, Inc. (licensee) for a SLIII Problem involving three violations occurring between June 1, 2016 and October 21, 2019. These violations involved the licensee’s failure (1) to prepare written directives that were dated and signed by an authorized user before the administration of iodine-131 sodium iodide greater than 30 microcuries and therapeutic doses of palladium-103 (10 CFR 35.40(a)), (2) to ensure that written directives for the administration of a therapeutic dosage of unsealed radium-223 contained the dosage and route of administration (10 CFR 35.40(b)(2)), and (3) to develop, implement, and maintain written procedures to provide high confidence that each administration requiring a written directive is in accordance with the written directive (10 CFR 35.41(a)(2)).