xt70rx938p3f https://exploreuk.uky.edu/dips/xt70rx938p3f/data/mets.xml The Frontier Nursing Service, Inc. 1982 bulletins  English The Frontier Nursing Service, Inc. Contact the Special Collections Research Center for information regarding rights and use of this collection. Frontier Nursing Service Quarterly Bulletins Frontier Nursing Service Quarterly Bulletin, Vol. 58, No. 1, Summer 1982 text Frontier Nursing Service Quarterly Bulletin, Vol. 58, No. 1, Summer 1982 1982 2014 true xt70rx938p3f section xt70rx938p3f N URSIN
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US ISSN 0016-2116  l
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Front Cover: Drawing by Martin Carroll ’82, Courier. We have .
chosen this leaf drawing by Martin to represent a great
deal of hard work and close attention to detail that our —
many couriers and volunteers put in this summer.
I Whether it was in tending gardens, shucking beans, or ,
doing aide work in the hospital or clinics, this »
summer’s group gave us much of themselves, for which Q
we are most grateful and most proud.
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FRONTIER NURSING SERVICE QUARTERLY BULLETIN U
US ISSN 0016-2116 _
Published at the end of each quarter by the Frontier Nursing Service, Inc. I;
Wendover, Kentucky 41775 (tl
Subscription Price $5.00 a Year ‘ l
Editor’s Office, Wendover, Kentucky 41775 Z
VOLUME 58 SUMMER, 1982 NUMBER 1 ,
Second-class postage paid at Wendover, Ky. 41775 and at additional mailing offices  
Send Form 3579 to Frontier Nursing Service, Wendover, Ky. 41775
Copyright 1982, Frontier Nursing Service, Inc.
l

   C coNTENTs
sig;- _ ARTICLE AUTHOR PAGE
;`   ‘ Annual Report 2
-* ‘ Transmittal Letter 3
  Audited Financial Statement 4
4 _ Statement of Contributions in Trust 14
V » V  ' Statement of Donations and
. " ' Subscriptions 15
_ Report of Operations 16
_ · S Courier and Volunteer
- ` Hours and Days 19
" ` A Quiet, Generous Friend 22
Q_ Urgent Needs 23
i Staff Opportunities 24
  FNS Oncology Project by Susan Kanvik 25
Mrs. Breckinridge Enters the ANA
1 - Hall of Fame 26
A Summer Spent with FNS by Steven Yates 27
‘ Staff News & Birth Announcements 30
_ Courier News 31
Seminar on Trauma + Transport by Ron Hallman 34
Memorial Gifts 36
In Memoriam 39
Alumni News 41
Field Notes 51
_ V Employees Picnic by Ron Hallman 55

 2 FRONTIER NURSING SERVICE
FIFTY-SEVENTH ANNUAL REPORT
, of the .
I FRONTIER NURSING SERVICE, Incorporated " ,
E for the Fiscal Year _
i May 1, 1981 to April 30, 1982 5 ·
! ii
! A
PREFACE  
t As l’13.S b€€l'1 Ol11` Cl1StOI1'1 SlI`1C€ WG WSIB OIIG yB3.I` old, WG pl‘9S€I1t  
our annual report of the fiscal affairs and the field of operations of  
the Frontier Nursing Service, Incorporated. j 
We have, as in previous years, divided our report into two ly 
g sections. One section is about money, and one section about work. I
¥  
r  
  4
  I. §
; FISCAL REPORT  
i The figures that follow are taken from the Balance Sheet, the $  
Exhibits and Schedules of the Audit for the fiscal year which  
ended April 30, 1982.  
é

 QUARTERLYBULLEHN 3
EI.    Citizens Bank Square
Lexington, Kentucky 40507
` 606/254-3328
[ N
2 Board of Governors
ij Frontier Nursing Service, Inc.
{ Hyden, Kentucky
 
~ We have examined the balance sheets of Frontier Nursing Service, Inc. as
_. of April 30, 1982 and 1981, and the related statements of revenues and
E expenses, changes in fund balances and changes in financial position for
é the years then ended. Our examinations were made in accordance with
, generally accepted auditing standards and, accordingly, included such
4 tests of the accounting records and such other auditing procedures as
L we considered necessary in the circumstances.
I In our opinion, the financial statements referred to above present
. fairly the financial position of Frontier Nursing Service, Inc. at
April 30, 1982 and l98l, and the results of its operations and changes
I in its financial position for the years then ended, in conformity with
? generally accepted accounting principles applied on a consistent basis.
V  
I Lexington, Kentucky
J June 9, 1982
 2
E i
lm
1
it
I
4
1

 4 FRONTIER NURSING SERVICE
BALANCE SHEETS
FRONTIER NURSING SERVICE, INC.
April 30 ,
1982 1981 ’
~ UNRESTRICTED FUNDS ‘
` CURRENT ASSETS p
1 Cash and short-term investments S 58,762 S 247,331 V
I Accounts receivable:
Patients 1,840,641 1,476,906
Other 49,188 85,952
V 1,889,829 1.562,858 I
1
1 Less allowance for uncollectible accounts ~ 868,100 695,422
} 1,021,729 867,436
1 Receivable from third party programs--Note B 19»962
1 Inventories-—Note A 116,517 122,631
1 Prepaid expenses 36,670 34,238
1 TOTAL CURRENT ASSETS 1,253,640 1,271,636
l PROPERTY AND EQUIPMENT-—Note A
Land 142,163 142,163
1 Buildings 2,588,150 2,524,450
E Equipment 2,326,276 2,231,469
1 5,056,589 4,898,082
1
1 Less accumulated depreciation 1,877,218 1,680,104
1 3,179,371 3,217,978
1 BOARD-DESIGNATED FUNDS——Notes A and D
Cash 37,226 41,625
I Consolidated Fund investments 1,749,746 1,523,045
I Depreciation Fund investments 246,265 215,587
1 Education Fund investments 459,455
1 2,492,692 1,780,257 E
1 Less endowment fund investments (restricted) 56,000 g
2,492,692 1,724,257 L
§6,925,ZQ$ $6,21},871
RESTRICTED FUNDS Q1
ENDOWMENTS--Notes A, C and D l
Cash S 10,790 $ 53,757
Student loan receivables 81,869 68,204
Investments 857,777 704,868
Investments included in Consolidated Fund 56,000
r § 950,436 § §82,§2Q

  
4 April 30
’ 1982 1981
`- UNRESTRICTED FUNDS
CURRENT LIABILITIES
W} Accounts payable S 354,222 S 307,019
Accrued salaries and amounts withheld
from employees 96,675 160,140
Accrued vacation expense 121,846 136,821
Unexpended special purpose funds——Note A 163,508 168,767
Other current liabilities 169,084 94,126
Payable to third party programs--Note B 24,478
Current portion of 1ong—term debt--Note F 18,000 26,455
TOTAL CURRENT LIABILITIES 923,335 917,806
LONG-TERM DEBT, less current portion--Note F 18,000 36,000
FUND BALANCE 5,984,368 5,260,065
i
b
l $6,925,70} $6,213,821
I
r RESTRICTED FUNDS
l FUND BALANCE——Note C § 950,436 § 882,829
See notes to financial statements.

 6 FRONTIER NURSING SERVICE 1
STATEMENTS OF REVENUES AND EXPENSES g
FRONTIER NURSING SERVICE, INC.
Year Ended April 30 21
1 1982 1981 1
1 PATIENT SERVICE REVENUES 1
1 Mary Breckinridge Hospital: 1
1 Inpatient services $2,618,513 $2,216,859 Q·
1 Outpatient services 985,725 851,405 1
‘ Primary care center 961,712 893,634 ‘
1 Primary care extensions 337,690 344,690
1 Home health 374,028 367,951
1 5,277,668 4,674,539
1 Less charity, contractual allowances,
1 bad debts and other revenue deductions 1,293,051 942,689
1 NET PATIENT SERVICE REVENUES 3,984,617 3,731,850
1 OTHER OPERATING REVENUES 848,362 778,690 `
1 TOTAL OPERATING REVENUES 4,832,979 4,510,540
1 OPERATING EXPENSES 1
1 Salaries and wages 2,973,216 2,720,118
1 Fringe benefits 305,248 302,539
5 Medical services and supplies 1,911,341 1,746,859 _
` Facility costs 532,196 495,253 V
1 5,722,001 5,264,769
1 Loss FR011 OPERATIONS (889,022) (754,229)
NONOPERATING REVENUES
Unrestricted donations: 1
1 Deposited into Education Fund 412,894 1
Deposited into Consolidated Fund 21,134 150,719 1
Retained for use in operations 503,482 406,297 `
1 Unrestricted income from endowment and
1 other funds 37,359 33,307
1 Investment income from Board—designated funds 233,409 170,003 1
1 Coal royalties 302,434 89,405 V
Other nonoperating revenues 20,402 23,813 A
1,531,114 873,544 f
EXCESS OF REVENUES OVER EXPENSES § 642,092 S 119,315 {
1
 '  
See notes to financial statements. 1

 §
E  
, STATEMENTS OF CHANGES IN FUND BALANCES
_ FRONTIER NURSING SERVICE, INC.
iw -
 
if Unrestricted Endowment Funds
3 Funds Permanent Term
{ Balances at April 30, 1980 $5,156,405 $665,356 $100,000
1 Excess of revenues over expenses for
Q the year ended April 30, 1981 119,315
{ Restricted contributions used for
purchase of property and
equipment 102,667
Fair value of donated land 38,000
Transfer of funds to restricted fund
j balance (156,322) 156,322
1 Contributions restricted for specific
J purpose (additions to endowment) 44,255
I Restricted revenue earned by specific
purpose funds 722
` Gain (loss) on sale of Endowment Fund
` investments 16,174 (50,000)
‘ Transfer of term endowment to
1 unexpended special purpose funds (50,000)
. Balances at April 30, 1981 5,260,065 882,829 -0-
Excess of revenues over expenses
for the year ended April 30, 1982 642,092
' Restricted contributions used for
I purchase of property and equipment 82,211
. Contributions restricted for specific
I purpose (additions to endowment) 65,437
p Restricted revenue earned by specific
purpose funds 3,754
, Gain (loss) on sale of Endowment Fund
1 investments _ (1,584)
e “ ' "“'” '
QQ Balances at April 30, 1982 $5,984,368 $950,436 $ -0-
W
‘
2
S
\.
g See notes to financial statements.
I

  
STATEMENTS OF CHANGES IN FINANCIAL POSITION
I FRONTIER NURSING SERVICE, INC. ,
Year Ended April 30 `
1 1982 1981
SOURCE OF WORKING CAPITAL *`
Loss from operations S (889,022) $(754,229) 4
· Charge to operations not affecting working
capital - depreciation 214,781 209,874 .
FUNDS REQUIRED FOR OPERATIONS (674,241) (544,355) _p
i
, Nonoperating revenues 1,531,114 873,544
T 856,873 329,189
E Disposals of property and equipment 7,658 585 I
¢ Restricted contributions used for purchase
{ of property and equipment 82,211 102,667
f Donated land ___}8,000
{ 946,742 470,441
3 APPLICATION OF WORKING CAPITAL
{ Additions to property, equipment, and land 183,832 284,274
i Increase in Board-designated funds 768,435 114,289
I Decrease in long—term debt 18,000 22,761
, Transfer of funds to restricted funds 156,322
4 970,267 577,646
  (oxzckmsm in womumc carmu. §..(;;.;Q) .$_LlM.A>.5>
3 CHANGES IN COMPONENTS OF WORKING CAPITAL
i Increase (decrease) in current assets:
I Cash and short-term investments S (188,569) $ (24,677)
} Accounts receivable - net of allowances 154,293 166,683
Receivable from third party programs 19,962
Inventories (6,114) 27,439
Prepaid expenses 2,432 (8,092)
(17,996) 161,353 _
(Decrease) increase in current liabilities:
Accounts payable 47,203 131,282
Accrued salaries and amounts withheld Y
from employees (63,465) 38,227
Accrued vacation expense (14,975) 28,759
Unexpended special purpose funds (5,259) 45,104 y
Other current liabilities 74,958 94,126 "
Payable to third party programs (24,478) (73,700) _
Current portion of long—term debt (8,455) 4,760
___ 5,529 268,558 _
(urcxmsr) IN WORKING cA1>1TAL §_(.Q,52.i> §_<10.L@>
See notes to financial statements.

 QUARTERLYBULLEHN 9
NOTES TO FINANCIAL STATEMENTS
· FRONTIER NURSING SERVICE, INC.
. April 30, 1982
l_,‘
‘ NOTE A-—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
_ Organization: Frontier Nursing Service was organized in l925 as a nonprofit
· charitable organization. The Service's purpose is to provide needed health
° services in the Appalachian area. During its early years, the Service was
the only provider of health services in the area and it remains the largest
provider of health services in Leslie County and the portion of surrounding
g counties comprising its service area. The Service operates an accredited
midwifery and family nursing school, a home health agency, a 40 bed hospital,
and provides primary care services through a primary care center and out-
lying extension clinics. Frontier Nursing Service has historically been
dependent on charitable contributions to fund a significant portion of the
costs of services and programs.
Fatient Service Revenues: Patient service revenues are recorded at
established rates regardless of whether collection in full is expected.
Contractual allowances, charity, and bad debts are reported as deductions
from patient service revenues.
Unrestricted Donations and Grants: Donations and grants which are not
restricted by donors are reported as nonoperating revenues. Bequests under
wills are recorded when received by the Service.
Investments: Investments are stated in the financial statements at cost or,
if donated, at fair market value at the date of donation. Investment income
is accounted for on the cash basis which is not significantly different from
the accrual method. Gain or loss from sale of investments is the difference
between proceeds received and the carrying value of the investment sold. Un-
realized gains or losses are not included in the accompanying financial state-
ments.
i Board-Designated Funds: The Board of Governors has designated the following
funds to accumulate monies for the indicated purposes:
{ The Consolidated Fund accumulates funds for such operating
and general purposes as the Board may determine.
g The Education Fund, instituted in 1982, accumulates funds
+· until such time as they are needed for the operation of
the educational programs.
The Depreciation Fund accumulates funds for replacement,
Q expansion or improvements of the Service's facilities.
Income from the principal portion of the Consolidated Investment Fund is
to be used to subsidize care for indigent patients unless such income is
specifically designated by the Board for other uses. Income from the

 10 FRONTIER NURSING SERVICE
` NOTES TO FINANCIAL STATEMENTS——Continued
FRONTIER NURSING SERVICE, INC.
, NOTE A-—ORGANIZATION AND S1DDhkRY OF SIGNIFICANT ACCOUNTING POLICIES——Continued
{ `.
1 ¢~ ·
{ Education and Depreciation Funds is retained in the principal of the funds 2
1 until expended for the designated purposes.
Q Restricted Funds: Restricted funds represent endowments, the principal of y.
which cannot be expended. Income from such endowments is available for ’
1 operating purposes and is reported as revenue when earned in accordance with
1 the donor's instructions.
1
1 Frontier Nursing Service, Inc. is also income beneficiary of certain trust ;
1 funds which are not administered or controlled by the Service. Accordingly,
1 such funds are not included in the balance sheets at April 30, 1982 and 1981.
{ Income received from such trust funds was $46,270 and $39,760 for the years
1 ended April 30, 1982 and 1981, respectively.
1
i Resources restricted by donors for additions to property are recorded as _
t increases to the unrestricted fund balance when expended for the purposes
1 intended. Resources restricted by donors for specific operating purposes are
g credited to other operating revenues when expended for the purposes intended.
1
1 Inventories: Inventories, principally medical supplies and drugs, are stated
Q at cost (first-in, first-out method) which is not in excess of market.
1 Property and Eguipment: Property and equipment is stated at cost, or fair
· market value at date of donation for items donated to the Service. Depre-
i ciation has been computed on the straight-line method over the estimated use-
ful lives.
Revenue from Donated Services: The Service records, as revenue, the value of
services of certain professionals provided by the National Health Service
Corps (NHSC) in anticipation of receiving a waiver of liability to NHSC.
Changes in Presentation of Comparative Statements: Certain 1981 amounts have -
been reclassified to conform with 1982 classifications. _
NOTE B--MEDICARE AND MEDICAID PROGRAMS x
The Service participates in the Medicare and Medicaid Programs which I
provide payment for eligible services to Program beneficiaries. During pi
1981 and 1982 these Programs made interim payments to the Service based ‘ I
on estimated costs and the difference between such payments and amounts
actually due to the Service was determined based on cost reports pre-
pared by the Service at year-end. These Programs reimburse the Service
for services provided to Program beneficiaries based upon the lower of
Program costs or customary charges. In 1979 and prior, costs for the
Hospital and Clinics exceeded customary charges and thus, reimbursement
was limited to the amount of customary charges. The Programs permit
carrying forward amounts not reimbursed due to this limitation for

 QUARTERLY BULLETIN 11
NOTES TO FINANCIAL STATEMENTS--Continued
FRONTIER NURSING SERVICE, INC.
 i
NOTE B--MEDICARE AND MEDICAID PROGRAMS-—Continued
,_ two years. During 1981, charges exceeded costs and prior year carry-
v forwards (i.e., the difference between cost and charges) were recouped
` to the extent of the 1981 excess of charges over cost. Audits or re-
views of the cost reports have been substantially completed by the
federal or state agencies through the year ended April 30, 1980 and
adequate provision has been made for the results thereof and other
potential adjustments for 1981 and 1982 cost reports, which have not
yet been audited.
NOTE C——EXP1RATION OF TERM ENDOWMENT
A At April 30, 1980, endowment funds included a term endowment consisting of
a $100,000 unsecured note receivable due December 31, 1988. During 1981, the
note was sold to the issuer for $50,000, resulting in a loss of $50,000.
Concurrent with the sale, the term restriction expired. The proceeds are to
be expended over the next five years to meet certain expenses.
NOTE D-—INVESTMENTS
The carrying value and approximate market value of investments at April 30,
1982 and 1981 are summarized as follows:
1982 1981
Carrying Carrying
Value Market Value Market
Investments recorded in:
Z Board—designated funds:
Consolidated Fundi
U.S. Government obligations $ 393,686 S 392,552 S 196,263 S 194,644
_ Corporate bonds 736,950 432,413 736,950 439,750
? Common stocks 619,110 1,025,447 589,832 1,130,947
1,749,746 1,850,412 1,523,045 1,765,341
D Depreciation fund:
r`, U.S. Government obligations 246,265 246,265 215,587 215,587
Education fund:
U.S. Government obligations 272,720 272,721
Common stocks 186,735 225,844
459,455 _ 498,565
Tom;. Bam DESIGNATED        

 12 FRONTIER NURSING SERVICE
NOTES T0 FINANCIAL STATEMENTS--Continued
1
1 FRONTIER NURSING SERVICE, INC.
; .
1  
` NOTE D-—lNVESTMENTS——Continued E
1982 1981  ..
Carrying Carrying i
Value Market Value Market
1 Endowment funds: `
1 Short·term money—market certi-
1 ficates 5 12,758 S 12,758 S 12,229 S 12,229
Q U.S. Government obligations 272,853 272,853 145,121 145,121
1 Corporate bonds 85,029 43,825 85,028 41,738
E Common stocks 313,377 425,456 121,802 183,837
1 Investments in common trust
1 funds 173,760 151,618 340,688 414,699
[ worm. 1:ND0wM12:~1T FUND §_@.lU 5L.M  <1.@ ;@,@
I NOTE E——RETIREMENI PLAN
I ,
1 Frontier Nursing Service, Inc. has a non—contributory defined benefit retire-
ment plan for regular full—time employees with 1,000 hours of continuous
service who are twenty-five years of age or more. The policy of the Service
is to fund pension costs accrued. Total retirement plan expense for the j
years ended April 30, 1982 and 1981 was $61,381 and $55,719, respectively. `
Accumulated plan benefit information, as estimated by consulting actuaries
as of the most recent valuation dates, and plan net assets are:
May 1 1
*__l98l 1980
Actuarial present value of accumulated
plan benefits: g
1166:66 $190,656 $155,122  
Nonvested 47,065 68,852 L
$237,721 $223,974
Net assets available for benefits: $273,350 $218,909
The assumed rate of return used in determining the actuarial present value of
accumulated plan benefits was 6% for 1982 and 1981.

  
NOTES TO FINANCIAL STATEMENTS-—Continued l
FRONTIER NURSING SERVICE, INC.
NOTE F-—LONG-TERM DEBT
I
_ '~ Long—term debt consists of the following:
April 30
A 1982 1981
6% unsecured promissory note-—principal
9 payable in annual installments of
L $18,000 through April 1984; interest
3 payable in semi—annual installments
7 ' through April 1984 $36,000 $54,000
2 Non—interest bearing unsecured installment
. note to DHEW due in 1981 8,455
Q 36,000 62,455
I Less: Current portion 18,000 26,455
, TOTAL LONG—TERM PORTION $18,000 $36,000
 C

 14 mourrmn Nuxzsim smzvrcrc ‘
  FRONTIER NURSING SERVICE, INCORPORATED
l CONTRIBUTIONS PLACED IN TRUST
  May 1, 1981 to April 30, 1982
i .
{ Funds which are placed in trust are a measure of strength for  
4 Frontier Nursing Service as we fulfill our purpose and plan for a ig
I solid future. This is a listing of previous trust funds which had  
additions, and new contributions which were placed in trust 2
: during this fiscal year.  .
  The Friends Fund i
  Branham Fund `
I Wilson Neel Memorial Baby’s Crib =
i Ann Allen Danson Memorial Fund Q
y Board Designated Education Fund
Lucie Wilshire Graham Memorial  .
Elizabeth Canby Bradford duPont Memorial
I Kate Ireland Fund A
  William Waller Carson Fund in honor of
A Katherine Breckinridge Carson Breckinridge »
Helen Blodgett Erwin Legacy ~
Grace R. Lewis Legacy _
Eugenie Snow Caro Legacy in memory of her 1 
parents, Eugene E. and Anna M. Snow _
Mary Corker Legacy  ’
Mary Oliver Robinson Legacy  
Mary M. Parsons Estate  
Elizabeth Hope McCovvn Estate { 
 
 

  ..
I QUARTERLY BULLETIN 15
FRONTIER NURSING SERVICE, INCORPORATED
‘ LEXINGTON, KENTUCKY
STATEMENT OF DONATIONS AND SUBSCRIPTIONS PAID
lg. MAY 1, 1981 TO APRIL 30, 1982
  S U M M A R Y
P Baltimore Committee ......................,...... $ 925 $ $ 925
Boston Committee ................................ 16,542 5,000 21,542
- Chicago Committee ............................... 8,943 8,943
, Cincinnati Committee ......,...................... 7,190 7,190
i Cleveland Committee ............................. 122,978 122,978
{ *Daughters of Colonial Wars ....................... 1,314 1,314
t Detroit Committee ................................ 16,797 16,797
:_ Hartford Committee ............................... 973 973
_ **Kentucky:
_ Blue Grass Committee ..........,............. 79,281 79,281
Louisville Committee .......................... 23,223 23,223
, Miscellaneous State ........................... 23,211 23,211
— Minneapolis Committee ........................... 1,154 1,154
New York Committee ............................. 123,034 736 123,770
 ‘ Philadelphia Committee ........................... 21,114 5,264 26,378
Pittsburgh Committee ............................. 39,035 39,035
¢ Princeton Committee .............................. 1,130 1,130
‘ Providence Committee ............................ 538 538
Q Rochester committee .............................. 2,405 2,405
V Washington, D.C. Committee ..................... 28,140 8,643 36,783
L l\/Iiscellaneous ............................... . ..... 87,735 87,735
  TOTALS .......................................... $605,662 $19,643 $625,305
3 Total Contributions Above
I  Restricted $123,477
  Unrestricted 482,185
  $605,662
 · *Donations from various state chapters.
` **Total for Kentucky: ............................... $125,715 $125,715

 16 FRONTIER NURSING SERVICE
I II.
  REPORT OF OPERATIONS
i Comparative Analysis of Service Provided
{ In the Two Fiscal Years, 1981 and 1982  4
1  
1.
HOSPITAL   ‘
1981 1982
ALL PATIENTS (Excludes Newborn):
PERCENT OF OCCUPANCY ................... 64.3% 64.4%
PATIENT DAYS — TOTAL ..................... 9,390 9,407
Medical-Surgical Unit Days .................. 7,734 7,777
Obstetrical Unit ......................,....... 1,656 1,630
ADMISSIONS — TOTAL ....................... 2,200 2,175
Medical-Surgical Unit ........................ 1,696 1,661
g Obstetrical Unit .............................. 504 514
  AVERAGE DAILY CENSUS .................... 25.7 25.8
a
' AVERAGE LENGTH OF STAY ................. 4.3 4.3
NEWBORN:
Percent of Occupancy ......................... 35.0% 31.5%
Patient Days — Total ........................ 1,278 1,148
Admissions — Total .......................... 338 338
Average Daily Census ........................ 3.5 3.2
Average Length of Stay ...................... 3.8 3.4 V
DELIVERIES — TOTAL ........................ 339 336 `
OPERATIONS — TOTAL ....................... 795 948  A
Major ........................................ 516 464
Minor ........................................ 191 397 _
ENT ......................................... ss 87 it 
Inpatient ..................................... N.A. 694
Outpatient ................................... N.A. 254
ANESTHESIA — TOTAL ....................... 792 940
` Spinal ....................................... 20 32
General ...................................... 625 609
Local ........................................ 147 299

 QUARTERLY BULLETIN 17
1981 1982
DEATHS — TOTAL ............................ 26 30
Institutional (over 48 hours) 16 17
L  Institutional (under 48 hours) ................. 8 7
  Noninstitutional (OPD/ ER) .................. 2 6
' 
X-RAY EXAMINATIONS — TOTAL ............ 7,530 7,207
· . Inpatient ..................................... 1,659 1,651
= Outpatient ................................... 5,871 5,556
, LABORATORY PROCEDURES — TOTAL ...... 82,229 81,602
Inpatient ..................................... 23,542 24,205
Outpatient ................................... 32,232 32,341
Referred in ................................... 18,329 17,115
Referred out ......................... , ........ 8,196 7,941
PRESCRIPTIONS FILLED —— TOTAL .......... 68,756 68,385
Inpatient ..................................... 11,018 12,756
Outpatient ................................... 51,395 55,165
Oneida Pharmacy ................... . ........ 6,343 464
PHYSICAL THERAPY TREATMENT — TOTAL 1,407 1,691
. Inpatient treatments ......................... 438 441
Outpatient treatments ........................ 1,855 1,041
Home Health treatments ..................... 114 209
ELECTROCARDIOGRAMS — TOTAL .......... 1,634 1,638
` Inpatient ..................................... 882 895
Outpatient ........................ . .......... 752 743
RESPIRATORY THERAPY —— TOTAL .......... 9,484 14,810
Inpatient procedures ......................... 9,084 13,876
Outpatient procedures ........................ 400 934
MBH — DENTISTRY — TOTAL ................ 1,807 1,348
Inpatient ..................................... 4 0
ni Outpatient ................................... 1,803 1,348
Average Per Day ............................. 7.1 5.3
 `— WOOTON DENTAL VISITS — TOTAL ......... 1,639 1,632
Average Visits Per Day ...................... 6.5 6.4
HOME HEALTH VISITS — TOTAL ............ 7,740 7,791
Average Visits Per Day ...................... 30.5 30.7
EMERGENCY ROOM VISITS — TOTAL ....... 6,243 5,789
Average Visits Per Day ...................... 17.1 15.9

 A 18 FRONTIER NURSING SERVICE
I 1981 1982
ADMI'I'I`ED THRU E. R. — TOTAL 789 763
5 PCC VISITS BY CLINIC — TOTAL ............. 25,088 24,071
General Clinic ................................ 14,105 14,580  
{ Pediatric ..................................... 5,332 4,390 '
Well Child ................................... 50 173
Family Planning ............................. 263 121 , _
~ GYN ......................................... 320 498
PAP ......................................... 45 0
ENT ......................................... 260 319
Orthopedic ................................... 345 283
Ophthalmology .............................. 215 149
MTD ......................................... 4,153 3,504
Average Visits Per Day ...................... 98.8 94.6
DR. ALLOUCH VISITS — TOTAL .............. 2,103 N.A.
Average Visits Per Day ...................... 13.0 N.A.
PCC EXTENSIONS — TOTAL VISITS .......... 21,756 18,702
Average Visits Per Day ...................... 85.1 73.6
I BEECH FORK CLINIC — TOTAL .............. 5,632 5,373
Average Visits Per Day ...................... 22.9 21.2c
COMMUNITY HEALTH CENTER —~ TOTAL ... 4,591 3,893
Average Visits Per Day ...................... 18.1 15.3
ONEIDA CLINIC — TOTAL .................... 5,629 4,321
Average Visits Per Day ...................... 22.2 17.0
PINE MOUNTAIN CLINIC — TOTAL .......... 1,791 1,683
Average Visits Per Day ...................... 7.1 6.6  .
WOOTON CLINIC — TOTAL ................... 4,113 3,432
Average Visits Per Day ...................... 16.2 13.5 I ·

 QUARTERLY BULLETIN 19
COURIER AND VOLUNTEER HOURS AND DAYS REPORT
May, 1981 - April, 1982
Departments Served Couriers Volunteers
V Administration
—Annual Meeting 23.5
» , —Auxiliary Craft Fair 13.0
—District Craft Fund 6.0
Beech Fork Clinic
—Nurse’s Aide 28.25 8.5
—Varnishing Cupboards 4.0 8.0
Betty Lester’s Yard 6.5 6.0
Business Office
—Wilma Browning 144.0
Central Supply 1.25
CHC
—Nurse’s Aide 110.0
—Sp1·ing Cleaning 19.0
Dental Clinic
—MBH 22.5 4.5
Dietary 3.0
Education (FSMFN) 79.5 8.0
Emergency Room 111.25 171.5
ENT Clinic
—Party 14.0
` —OR Assistance 23.5
Finance Department
—Auditor’s 6.0
—Ofiice Work 10.0
GRAB 34.5
Home Health 11.25 5.0
Hope House 333.25 3.0
 · Lab 47.75
Leslie County Health Dept. Social Work 73.5
_ Library
' i —MBH 79.0
Maternity
—Nurse’s Aide 58.5
A —Ward Clerk 77.5
Medical Records 22.5
Med-Surg
—Nurse’s Aide 308.25 294.0
Midwifery Dept.
—ACNM Convention 18.75
—Misc. 9.0
—Research Project 139.5

 20 FRONTIER NURSING SERVICE
1
; Oncology
j —Home Visits 18.0 136.0
3 —Ofiice Work 57.25 344.0
S —"Smoking Booth" 3.0
? Oneida Clinic v_
—Nurse’s Aide 232.0 IYI
Operating Room .
—Nurse’s Aide 10.0 84.5 I
Orientation 90.0 { »
Pharmacy I
—Mag Card (labels) 42.5
I Physical Therapy
—Home Visits 272.25 2.0
—Orthopedic Clinic 15.25
Primary Care Clinic
—Nurse’s Aide 332.5 25.0
—Observation
-—Tim Carey 9.0 I
—Wayne Goulet 25.5
—Nancy Fishwick 3.5 3.0
—Peter Morris 15.5 9.0
Print Shop A
—Medica1 Directives 90.75 ~
—Mi sc. 1 2.0 A
Pine Mountain
—Nurse’s Aide 32.5 V
-—Painting 10.5 10.0
Promotion and Development
—Black Gold Fest. 28.0 L
—Christmas Parties 3.5 ‘
—DCW’s 19.0 -
—Mary Breckinridge Fest. 26.5
——Mi.sc. 14.5 I
Research ·
·—Dr. Carey (water samples) 14.5
Rounds
—Long 608.75 16.0 A
—Short 457.25 12.5 I
Social Services 20.5 .
Steril Supply
—Equipment to ARH 6.()
Transportation
—Car Maintenance (Corbin) 32.0
-Patient Transport 51.()
l` —Visitors/ Staff 452.25
I 1

  
Wendover
—Gardening/yard work 159.0 934.0
—Maintenance and repair 52.0
 , —Misc. 257.5 7.5
_ —Painting 145.25
  —Sewing 15.5
. —Shredding Medical Directives 14.5
—Special dinners 85.5 8.0
, Wooton Clinic
— —Cleaning/ painting 65.0
X—ray 297.25 1.5
Total Hours 6003.25 339.5
Total Days 881 269
Total number of couriers — 31
Total number of volunteers — 7
Report submitted by Danna Larson
Date: May 17, 1982
_¥ Kate Ireland, National Chairman
Homer L. Drew, Treasurer
. David M. Hatfield, M.B.A., F.A.C.H.A., Director

  
A QUIET, GENEROUS FRIEND
y Without much ceremony, a plaque was placed on the wall in the
hospital lobby July 20th which reads: Gifts made through the »
l generosity of the Mary Breckinridge Hospital Auxiliary to the _
  Frontier Nursing Service. There follows a list, which we site here, · }‘
. of items donated to all areas of the hospital and to the districts ,
over a period of five years. What the list doesn’t tell is that the _,
donations total nearly $20,000, slowly acquired through the ‘
I hospital Gift Shop and through a yearly craft sale and that the
work to arrive at these handsome gifts is done daily and is
sometimes quite tedious. The women’s auxiliary is a volunteer
organization whose presence is all too often taken for granted and l
whose services in the form of the gift shop and the soda and snack
machines in the hospital are an unrecognized convenience. We
take this space now to acknowledge our modest friend and speak
with gratitude for all it has done in such a quiet way.
1977
2 color televisions for patient lobbies ................ $ 200.00 I
Infant isolette for OB ............................... 2000.00 ,
1978 l
Cardiac monitor for Med/ Surg `
Blood bank centrifuge for Lab
370c waterbath for PT .............................. 2000.00 .
6 recliners and 6 cots for patient rooms
Otoscope and 2 dictaphones for Wooton Clinic ...... 500.00
1979
Jewett freezer for storage of cryoprecipitate ......... 1800.00 V
Hermatocrit centrifuge for OB ...................... 300.00
Dopler ultra-sound stethoscope with head for PCC . . 412.50
Washing machine for Beech Fork ................... 260.00
Dopler ultra-sound stethoscope for OB ............... 412.50 •*
Cardiac defribrillator ,
in memory of Dorothy Weaver for ER ............ 3826.75 .
District Craft Fund (for Continuing Education for staff) 20.00 r
1980 _
District Craft Fund ................................. 1136.75
1982
Life pack for ER ................................... 6800.00
Ladies, we thank you! l

 QUARTERLY autumn za
URGENT NEEDS
7 Radio pagers for on-call staff .................... $ 250 each
i After hours pharmacy storage cabinet ............. $ 800
N 2 Ophthalmoscope/otoscope for Home Health ...... $ 300 each
fi Electric breast pump for OB ....................... $ 800
  2 IV poles with weights for Med/ Surg ............. $ 100 each
-i` Ophthalmoscope/otoscope for Med/ Surg ........... $ 300
2 Pediatric blood pressure cuffs for OR and
the Newborn Nursery .......................... $ 300 each
2 Stethoscopes for ER ............................. $ 35 each
We would like to take this opportunity to t