xt7gth8bhj17 https://exploreuk.uky.edu/dips/xt7gth8bhj17/data/mets.xml The Frontier Nursing Service, Inc. 2000 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, Vol. 76, No. 1, Fall/September 2000 text Frontier Nursing Service, Vol. 76, No. 1, Fall/September 2000 2000 2014 true xt7gth8bhj17 section xt7gth8bhj17 FRONTIER NURSING SERVICE  
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Volume 76 Number 1 Fall/Scptcmbcr 2000      Q
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· Celebratmg 75 Years of Servrce
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    J       y 4 g   1 _    Hall; CEO Deanna Severance; former FNS Board Member C.
g Vemon Cooper; and Mary Breckinridge Endowed Chair Kitty
ir Emst.

After the ribbon cutting ceremony a community picnic _
was held at the Richard Nixon Recreation Center with approxi- `
mately 650 people attending. Larry Dixon, Hyden, Kentucky, and
his catering company prepared the delicious picnic food and ‘“Blue I
Dawg" from Lexington, Kentucky, provided the entertainment.
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Dedication of Kate Ireland Drive
September 13, an "Evening with the Frontier Nursing Ser-
vice" will be held at the Holiday Inn South, Louisville, Kentucky.
This event is sponsored through the FNS Bluegrass Committee.
The photo and other exhibits will be displayed.
October 7, the annual Mary Breckinridge Festival in
Hyden will continue our 75th Celebration. October l7, the Bos- .
ton Committee will meet to celebrate our 75th year and present ,
the Mardi Perry Scholarship to a New England nurse-midwifery I
student. Mrs. Susan Stone, Dean of the Frontier School of Mid— ;
wifery and Family Nursing, will be the featured speaker. i
October 21, 2000, is CNEP graduation in Hyden, Ken- l
tucky. Graduation caps a year of 75th birthday activities. it

, Reflections of FNS’ 75th Year
X -Dn Anne Wasson
~ As the new year (the 75th for the FNS) began. I reflected
0n the past 30 years that I have been associated with the organiza-
tion. There have been so many changes over the years. I am re-
minded that the medical needs of the local people have been ITICI
as the ancillary services have been brought up to date.
The X—ray Department now has ultrasound, CT scans and
mammography. The x-ray machine is modern and automatic pro-
I cessing of films is done. The registration of patients is computer-
ized and radiologists read the films and direct the department.
That certainly was not available in l970.
The lab services are automated and available to process
specimens of all types and the department is under the direction
of a Pathologist. This is a far cry from a lab available for CBC`s
and urines done at the old hospital with blood chemistries sent to
Atlanta and reports sent by mail.
The Respiratory Therapy Department is active and busy
A with testing and therapy for our many patients with respiratory
disease. Physical Therapy has made the longjourney of aides in-
I structed by the doctor for exercise routines. to Physical Thera-
pists who use all of the modern techniques in their department
and in the homes of our home health patients.
Endosopic surgery is the order ofthe day now. I remem-
ber the first modern flexible sigmoidoscope bought in the early
80’s. Cardiac monitors and modern equipment for resuscitative
I efforts is the rule. Womens’ healthcare continues to be supported
, by the midwife/obstetrical team.
Q In the 70’s pediatrics was a busy practice combined with
  general clinic where FNPs and generalists gave most of the carc
  to children who made up 40% of the patient load. The district
‘ clinics, now two instead of five, are busy but not as closely tied to
g the parent organization as in the past. In the old days. hospital
I clinics were held until all patients were seen. This kept practitio-
  ners busy for at least two shifts.

Nurse-practitioners and doctors no longer make the te- .
_ dious ambulance (hearse) trips with acute cases, to the Daniel `
Boone Clinic and Harlan Hospital. Over time, the local people
have become accepting of referral to the tertiary care units of .
Lexington. The incidences of gunshot wounds have decreased
remarkably since the l970’s.
Home Health, first carried out by district nurses. was l
brought into Hyden and standardized and maintained with a sepa— I
rate staff. Home Health now meets the strict standards for state
regulation. .
The classroom for the midwives was located high on  
Hospital Hill above the old hospital. A trailer was added in the  
parking lot for the family nursing course. Later, this classroom l
was moved to the recreation room of the Barn and in 1975, to the
third floor of the new hospital. As the old hospital was remod-
eled, classroom space was available on the first floor. The old E
hospital on Hospital Hill has been taken over by the FSMFN with ‘
remodeling of Haggin, a student residence, and Mardi Cottage as
an expanded modem classroom with clinic type exam rooms avail- i
In the early days before Medicare/Medicaid. the col|ec—  
tion rate for services rendered was poor and in the 60’s and 7()’s i
insurance claims were not always completed. Not until the 90`s A
did the billing department become well controlled. ln the 7()`s, .
the FNS was subdivided into five corporations and now at the
turn of the century, accounting for each of the corporations are in y
good control.  
I remember when the first copier was leased in the old  
hospital and when it broke down because someone was copying  
sheet music. Automation of record keeping with dictating sta-  
tions for practitioners is the rule now.  
Patient records are very carefully controlled and quality l
control of records and care have been established since the mid  
seventies and is standardized and carefully followed. 4;,
All ofthese changes have brought care at the MB HC into  
the new millennium and allows for modern, thoughtful care of |
the citizens of Leslie County. *

, Wendover News
` by Barb Gibs0n
· Tours
, Stacey Collett, Tour Guide,   t
  has led the following tours, since _ I _ _ K
  May: i    
~ May 9, Central Kentucky I   ._A', V  
Technical College, Danville, Ken- I    
{ tucky - 16 students/faculty; May p. ~   { l _,
  10, McKendree College, Louis-       »
é ville, Kentucky - 20 studentslfac-   A )
l ulty; May ll, Rockcastle Practical .  i`
Nursing, Mount Vemon, Kentucky — Barb Gibson
i 10 students/faculty; May 20, Lorie Pinkley. Williamston, North
i Carolina, and Lovey Shelton, Washington, North Carolina (Ms.
  Shelton knew Mrs. Breckinridge); May 22. Marsha Coulter and
p Betty Jo Branham, Mount Washington. Kentucky: May 22.
i McKendree College, Louisville, Kentucky — l7 students/faculty
  and May 26, Lisa Haupert, Roann, Indiana, and Heather Herville.
  Marion, Indiana.
  June 2, former FNS Home Health nurse Sandy Mathis.
  Nicholasville, Kentucky, and other nursing friends visited.
i July 28, Vanderbilt University, Nashville, Tennessee — 9
, August 2, Lisa McEvoy and John Huber. Medina. New
  York, brought five students from Allied Health Prep School for a
  three-day tour.
E Guests/Dinners
\ April 28th, ll students from the University of Cincin-
{ nati, Ohio, had dinner and spent the night. Also. April 28. Mr. &
li » Mrs. Garrett Cloud, Corbin, Kentucky, spent the night while teach-
{ ing advanced cardiac life support at MBHC.

May 4, a professional staff dinner was held for 45 em- i.
_ ployees; May 9, Sheila Cooley, her mother and her father, Lake- `
wood, Ohio, spent the night; May l0 - June l, Noel Fernandez.
New York, New York, spent some time. May I2. Mr. & Mrs. .
Perry Noland, Stanford, Kentucky, spent the night while Mrs. L
Noland (Jackie) who is an FNP student, participated in CFNP l
Bound; May l2, CFNP Bound dinner with l9 students/faculty in  
attendance; May 19, Jean Campbell and four of her friends had l
lunch; May 25, Madeline Sykes, New Bedford, Massachusetts, l
and her daughter, Marjorie Sykes, Sarasota, Florida. spent the  
night. §
May 26, former FSMFN FNP graduate and FNS employee j
Judy (Haralson) Rafson (‘72) and her husband, Cliff, visited Wen- '
dover. Judy and Cliff live in Greenville, North Carolina, where
Judy works as an Occupational Health Nurse—Practitioner with
the North Carolina Study of Estuaries and River & Cohort Health
(NC SEARCH) research project. The research is designed to de- j
tect suspected health effects on humans from exposure to R/ie.m»z·iu
Piscicida in the estuarine waters of the eastern seaboard. Rfie.s·reriu  
Piscicida is a microsopic dinoflagellate that releases a toxin known  
to be lethal to fish. During Judy and Cliff’s visit, we viewed "Cher— l
ish the Children", a FNS film featuring Judy when she worked at I,
the Red Bird Nursing Center and Hyden Clinic. I
May 30, Carl & Beverly Combs, Kettering, Ohio. made  
their annual visit to Wendover while traveling through this part of
June 7, Daniel & Cheryl Gentry, Fort Myers. Florida, spent j
the night. Mrs. Gentry interviewed for an PNP position at MB HC;  
June 8, Level III dinner with 20 students/faculty in attendance; l
June 9, Carol Panicucci, Athens, Alabama, CFNP faculty, spent  
the night; June I5, Level III dinner with 20 students/faculty at-  
tending; June 19, Jean Byme, Knoxville, Tennnessee, visited. Mrs. l
Byme worked at FNS as the Statistician in the early 40’s. June i
21, Edith West, Saint Marie, Michigan, stayed at Wendover while ig,
gathering infomation about FNS for a screenplay; June 27, Daniel l
& Joanne Traver, Port Huron, Michigan, spent the night while  
visiting their daughter, Dana, who was a Courier. J

l July 16, Stephanie Vanderhorst, her husband, and her two
‘· children visited from Angola, Indiana. July 17-21, a group of
seven instructors who were teaching native art in the local schools
_ stayed at Wendover; July 27, 12 students/faculty, Vanderbilt Uni-
versity, Nashville, Tennessee, spent the night while touring FNS.
Q July 19, Mr. & Mrs. Edward Savery, Kennett Square,
  Pennsylvania, visited. Mrs. Savery’s father, Dr. Francis M. Massie,
I Lexington, Kentucky, was a surgeon who held special clinics at
  FNS in the l940’s, 50’s and 60’s.
f July 20, Mr. & Mrs. Ron Murray, Huntsville, Alabama,
  visited. In 1952, Mr. Murray frequently visited the Wendover
i Cabin Chapel. He served as the altar boy for Reverend Bob
i McGinnus, an Episcopalian minister from Beattyville, Kentucky,
who performed chapel services at Wendover. Mr. Murrary remem-
bered having tea and dinner at the the Big House with Mrs. Breck-
August 2, Felecia Williams and her mother, Chicago. Il-
1 linois, spent the night.
, Noel Fernandez, Pomona, New York, spent a couple of
{ weeks at Wendover during August; August 8, Julian Campbell,
{ Augusta Mazyrk, Jeff Sole, Chris Manor and Andy Dickerson,
I with the Nature Conservancy spent the night; August 16, Ruth
  Beeman, Lexington, Kentucky, and three of her friends had lunch;
i August 17, Level III dinner with 16 in attendance; August 18.
L Carol Holbrook, Hyden, Kentucky, and eight of her friends had
dinner and August 21, Michela Biaggi and two friends spent the
. night while traveling to North Carolina where Michela will at-
` tend college.
  The Osborne Brothers H0met0wn Festival
l The Osborne Brothers and their band members spent the
1 night at Wendover August 5 and 6 while in Hyden for their an-
l_ nual hometown festival. On Wednesday of that week the Nixon
  Center parking areas began to fill up with campers from out of
  town and large groups tumed out for the all of the different group

concerts. We always count it an honor to have The Osborne Broth- .
ers stay at Wendover.
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The Osborne Brothers Hometown Festival in Hyden
Other Wendover News
August ll, we celebrated Dr. Anne Wasson’s 80th birth-
day! The Wendover cooks prepared a special lunch of chicken & {
dumplings and hot fudge cake. In attendance were Wendover staff,
Dr. Ro Var hese and a friend of his, Denise Kilbum, Director of
Nursing, Nancy Couch, OB/Med-Surg Manager and Noel
Femadez. After lunch Dr. Anne opened her many gifts and read
the following l7th Century Nun’s Prayer:

2 Lord, thou knowest better than I know myself that I am
*4 growing older and will some day be old. Keep me from thefatal
habit of thinking I must say something on everv subject and on
_ every occasion. Release me from craving to straighten out
everybodys affairs. Make me thoughjiil but not moodv; helpful
but not bossy. With my vast store of wisdom, it seems a pizfv not to
use it all, but Thou knowest Lord that I want afew friends at the
f end.
L Keep my mind free from the recital of endless details;
i give me wings to get to the point. Seal my lips on my aches and
l pains. They are increasing, and love of rehearsing them is be-
l coming sweeter as the years go by. I dare not askfor grace enough
E to enjoy the tales of others' pains, but help me to endure them
° with patience. I dare not ask for improved memory, butfor a grow-
ing humility and a lessening cocksureness when my memory seems
to clash with the memories of others. Teach me the glorious les-
son that occasionally I may be mistaken. Keep me reasonable
sweet; I do not want to be a Saint - some of them are so hard to
p live with - but a sour old person is one ofthe crowning works of
  the Devil. Give me the ability to see good things in unexpected
  places, and talents in unexpected people. And, give me, O Lord.
  the grace to tell them so. Amen. Contributed
l A lot of work has been done at Wendover during this past
1 summer including a tunnel being dug under the Big House so that
the foundation damage can be evaluated; two new septic systems
  installed; handrails stained and the Garden House basement
l painted. In addition to the above, Dr. Anne kept everyone busy
I with more planting and watering.
l We look forward to a busy fall with Board meetings,
‘ CNEP graduation and the Mary Breckinridge Festival. We invite
x our many friends to come and visit!

Courier News ?_i
Erin Banta,Saranac Lake,
New York, was here from April ‘
30 - July 24; Dana Traver, Port .  
Huron, Michigan, May I5 - Aug-   ‘=·‘   .
gust ll; Megan Stumn, Madison,     ¤ l
Wisconsin, May 22-August 5; ;
Miranda Gillespie, Mobile, Ala-   I
bama, June ll —August 30. Z    
All four of the Couriers   .  
had opportunties to shadow inter-   l
nists, midwives, home health Dana Traver  
nufS€S, social worker, mlfS€-pfz1CI- , gnwt .   ;,i•,Y$1 A
itioners at the outpost clinics and _.; ‘f,•g ~ 1 ·‘h»  
to observe surgery and births. In   `   ·,   ~
addition, all of them werea tre- ` " · _, ~  
emendous help with x—ray trans- ' .. -__   y
ports to the radiologists, rounds,    
and trips to the airport to pick up . ’   Q  
doctors, etc. Erin, Dana, Megan A lg  
and Miranda reported having had R __ In I H '  
a wonderful experience. ` — Y ~   l
Miranda Gillespie  
Lucas McDonald, Willets,    
California,was here from July 31 - *· * N? ` • °f ‘ * . *
August I6. Luke attends the Naval I     ws
Academy at Annapolis and wasn’t 4, `     , “
able to participate in the Program         J  
for more than two weeks. Luke V   .
was born at Mary Breckinridge · ‘   •• ,   ` "‘  
Hospital and wanted to come back       .— `
and visit his birthplace. Luke’s L   l
mother, Marcia Stevenson McDonald, was a FSMFN graduate  
and worked in the Hyden Clinic during the late 70’s. Luke`s fa-
ther, Keller, was the football coach at the Leslie County High  

l) New Couriers
Christine Guth, Wellesley, Massachusetts, arrived Au-
, gust l and will be here until November. More information about
Christine’s Courier experience later.
j We look forward to the arrival of Jennifer Balkus. Acton.
l Massachusetts and Mitchell Plummer, Lexington, Kentucky. on
  September 4th.
1 Former Courier News
l Kim Houkom (‘99) wrote during June. She has been in
Chile for two months teaching English to children,professionals.
college students and housewives. Kim was accepted into medical
school at the University of California at San Diego.
A Margaret (Meg) Gword (‘0O) wrote during July. She will
start back to school the end of August and has a job as a lifeguard
g at the school recreation center. Meg said that her experience with
  the FNS was the best experience of her life.
  Julie Wilbur (‘99) wrote during August. She began medi-
l cal school August IO at the University of Vermont. "Cassidy" or
  "Little Buger" (dog) as we called her at Wendover. moved to Ver-
  mont with Julie to enjoy exploring the farms. fields and parks.
E Mariah Mottley (`98), Susan Mathew (98). Catherine
L Thompson (‘98), ,]enny’er Swisher (`98) and Karen Thomissee
(‘96) wrote from Outer Banks North Carolina where they rented
a cottage on an island. Catherine is in nursing school; Karen just
graduated from photography school and is applying to journal-
ism school; Jennifer is starting her third year of medical school;
Susan will be leaving in September to study Public Health in
Loudon; and Mariah is living in Montana and studying pre—vet
l and zoology. The dogs — Ruby, Ash, Jack and Mariah`s new cat.
  Miss Trousers, are all well.

Mary Breckinridge Healthcare News li
_ —Mallie Noble, Administrator
Travels l
During July, Kitty Emst, W _y X i
CNEP Faculty and holder of the _    4 V;,_  · ·,    
Mary Breckinridge Endowed Chair, t;  l _ _ V E
andl traveled to Florida for a four 5 { if      
day meeting at the Disney World I   t ir_A  _  _   J      
Resort. The subject of the meeting i`  _     I
was “ Quality Healthcare Disney l` g  f °%_  
Style". The meetings were very `    T
high-paced and informative. Each \   . ` I  
evening after the meetings, Kitty and I reminisced and put our y
thoughts together about how we could serve our community bet-
ter. I will always have fond memories of the time I was fortunate  
enough to spend with Kitty. My fondest memory will always be l
Kitty’s vision "you can do anything as long as you believe in y
what you’re doing and follow your dreams". 2
Congratulations to Martha Browning on the birth of her i
grandson bom on July 3l, 2000, weighing 5 lbs, 7 ounces.  
Congratulations to Connie Napier on the birth of her  
granddaughter born on August I5, 2000, weighing 7 lbs. I5 ounces.  
New Employees and Promotions  
In July, Debbie Napier re-joined the MBHC staff as OB I
Charge Nurse. Welcome back Debbie! r
Congratulations to Deanna Slusher who has been pro- [
moted to Business Office Supervisor. `
Staff Activities l
On July 28, 2000, with the help and support of the MBHC gl
Care Committee, the fifth annual community—wide Health Fair ’
was sponsored by the MBHC Quality Improvement Program. The
goal of the Health Fair was to provide health education and to °`i

Q_ keep the community members informed on health related issues
as well as community services available. The Health Fair was
successful with 38 booths/vendors and approximately 250 com-
_ munity members attending.
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  Nancy Couch, OB/Med·Surg Manager; Helen Begley, Nurse
E Aide, and Denise Kilburn, Director of Nursing at the Health
i Fair
  MBHC, Inc. is working with the Kentucky Tech. Cabinet
  for Workforce Development in the Department for Technical Edu-
cation. In collaboration with Mrs. Betty Huff, Principal. and Doug
i Napier, Instructor, MBHC, Inc. has employed two students. These
E students are Travis Smith and Frank Baker. They have worked
I diligently throughout the summer to upgrade, repair. and imple-
l ment our information technology system at MBHC. Inc., Wen-
i dover offices, FSMFN and the FSMFN office in Lexington. We
R are pleased to have these fine students at our facilities.
iz Sympathy
. Our deepest sympathy goes to the family of Denzil Collett
i who recently passed away. He was the uncle of Christy Morgan.
i. Business Office Deposit Clerk, and the brother—in—law of Lonnie
Dean Brown, Maintenance.

Frontier School of Midwifery and Family Nursing il
by Dx Julie Marfell, CFNP Education Director and
Susan Stone, FSMFN Dean *
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Susan Stone Dre Julie Marfell p
The Frontier School of Midwifery and Family Nursing l
(FSMFN) continues to move forward in our mission to educate
nurse—practitioners and nurse—midwives. This fall marks the first t
combined Midwifery/FNP Bound for the Community—based t
Nurse—Midwifery Education Program (CNEP) and the Commu-
nity—based Nurse-Practitioner (CFNP) Program students. This  
orientation to FSMFN will begin the journey for the students to-
wards their goal to become CNM and FNPs. Both groups of stu- l
dents share a common mission of caring for the underserved in .
their communities. The strength that the combination of these two t
groups of individuals will bring to Midwifery/FNP Bound will be  
truly amazing. We will have approximately 40 students at the l
School for each orientation in September and October. '
Changes to the curriculum at FSMFN will begin this fall.  
Not only will the students be together at Midwifery/FNP Bound.  
but also more of the core of the curriculum will be offered as l
combined courses for both groups of students. The goal is to in-  
corporate more ofthe elements of primary care into the midwifery ;
program of study. The American College of Nurse-Midwives y
(ACNM) has included this content in the core competencies and l

I students will be required to know this information for the certifi-
l cation exam. Health Promotion and Disease Prevention and
Women’s Health I are currently combined core courses. Pharma-
_ cology, Pathophysiology, Decision-making in Primary Care and
Primary Care I will be changed to combined courses this fall.
j The faculty and students participated in the dedication of
I the Kate Ireland Drive and the community picnic during the June
  Level III. Kitty Emst led the singing of the CNEP song before the
I students returned to class that day. The weather was beautiful.
I sunny and mild.
  Both the CNEP and the CFNP programs have continued
to receive potential student inquiries from all over the globe. As
I we move into the next century our goal is to continue to expand
our mission of providing care to mothers, babies and families.
Mrs. Breckinridge’s goal was to surpass ourselves . . . onward.
forward into the ever-expanding Frontier.
, Frontier Nursing Service — wwwfrontiernursing .org
FSMFN Community—based Nurse—Midwifery Education Program
(CNEP) - www.midwives.org
FSMFN Community-based Nurse—Practitioner Program (CFNP)
I - www.frontierfnp.org
I .

For the Fiscal Year
May 1, 1999 to April 30, 2000

As has been our custom since we were one year old, we present
our annual report of the fiscal affairs of the field operations of the
Frontier Nursing, Incorporated.
We have, as in previous years, divided our report into two sec-
~ tions. One section is about money, and one is about work.
` The figures that follow are taken from the Balance Sheet, the
Exhibits and Schedules of the Audit for the fiscal year which
I ended April 30, 20000.

To the Board of Governors I
FNS, Inc. and Affiliates
Lexington, Kentucky `
We have audited the accompanying combined statements of financial position of FNS, Inc. (a non- ,
protit organization) and affiliates as of April 30, 2000 and 1999, and the related combined
statements of activities and cash flows for the years then ended. These combined financial j
statements are the responsibility ofthe Service's management. Our responsibility is to express an
opinion on these combined financial statements based on our audits.
We conducted our audits in accordance with generally accepted auditing standards. Those `
standards require that we plan and perform the audit to obtain reasonable assurance about
whether the combined financial statements are free of material misstatement. An audit includes `
examining, on a test basis, evidence supporting the amounts and disclosures in the combined I
financial statements. An audit also includes assessing the accounting principles used and
significant estimates made by management, as well as evaluating the overall financial statement
presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the combined Hnancial statements referred to above present fairly, in all material I
respects, the financial position of FNS, Inc. and affiliates as of April 30, 2000 and 1999, and the I
changes in its net assets and its cash flows for the years then ended in conformity with generally j
accepted accounting principles. I
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