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Exhibit C

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March 29, 2011

Lucille D. Swaim
Coordinator of Negotiations
Federation of Nurses/UFT
52 Broadway, 5th Floor
New York, New York 10004

Dear Ms. Swaim

This letter confirms the parties’ understanding regarding PPD’s and respiratory care procedures, including nebulizer treatments, on nursing units, which duties are normally performed by non-nursing personnel.  The parties acknowledge that RN’s are qualified to perform these procedures and while they are not generally part of the RN daily duties, an RN may be required to perform them to assure patient safety.



Margaret DiAlto
Senior Vice President
Human Resources