xt7v9s1kjj8h https://exploreuk.uky.edu/dips/xt7v9s1kjj8h/data/mets.xml The Frontier Nursing Service, Inc. 1977 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. 52, No. 4, Spring 1977 text Frontier Nursing Service Quarterly Bulletin, Vol. 52, No. 4, Spring 1977 1977 2014 true xt7v9s1kjj8h section xt7v9s1kjj8h i VOLUME 52 SPRING, 1977 NUMBER 4
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A SALUTE TO MARY BRECKINRIDGE HOSPITAL EMPLOYEES

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FRONTIER NURSING SERVICE QUARTERLY BU1.I,}·J'1‘IN `Y
Published at the end of each quarter by the Frontier Nursing Service, Im: 5
Wendover, Kentucky 41775 *
Subscription Price $2,00 a Year  
Edit0r’s Office, Wendover, Kentucky 41775  
v‘7iiIK1i-§[Ww_ svmwo, ism NUMISICEXI ,
Second-class postage paid at Wendover, Ky. 41775 and at additional mailing offices  
Send Form 3579 to Frontier Nursing Service, Wendovor, Ky. 41775 _
Copyright 1977, Frontier Nursing Service, Inc, I
I

   CONTENTS
 l ARTICLE AUTHOR PAGE
 *3
I  A Salute to Mary Breckinridge Compiled by Peggy Elmore, 3
j Hospital Employees (Illus.) Jim Fulmer, and Gabrielle
, l Beasley. Cartoons by
  Jim F ulmer. Photographs
  by Gabrielle Beasley
  Beyond the Mountains 43
    Cartoons Centerfold Page
    Doctor of Science: 37
I   Helen E. Browne (Illus.)
  Ellen Morgan A Photograph Inside Back Cover
V   Field Notes 48
  In Memoriam 39
  Once Over Lightly 2
    The Fifty-Second Annual Meeting 55
_ · and Its Program
V   The Mary Breckinridge 46
  Hospital Auxiliary: Gifts
  To and From (Illus.)
%
ri Urgent Needs 36
-  `
  , 3 -
V _ BRIEF BITS
F  
r·  
i Tl Mary Breckinridge Hospital 42
  Receives Merit Award
IT  from KHA
  "Procrastination is the 65
{5  Thief of Time"
  Radio Spots Jim Fulmer 42, 38
  White Elephant 54
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ONCE OVER LIGHTLY 1
In selecting employees of the Mary Breckinridge Hospital as  
the focus for this issue, we pay glowing tribute to these outstan- Q
ding people who make it possible to provide health services. They I
make the building work and keep it clean, they keep the records,  
they do the bills that emerge from the computer, they com- ,,
municate, they feed us, they make us happy: they make it possible §l
for the patients to get care. They are the heart of the matter and we IJ
give them all honor.  
At the same moment, this may illlustrate a portion ofthe basis  
of health care costs. We have recently made a request of Blue i
Cross of Kentucky to increase Mary Breckinridge Hospital room l
rates by $10.00 a day; for example, we asked to increase the double ;  
room rate from $55.00 to $65.00 a day. (For those of you unfamiliar    
with hospital costs, you might inquire about the rates at your  
hospital.) In the justification to Blue Cross, we pointed out that the  
average length of stay for our patients is 4.5 days as opposed to 6.9  
days for other hospitals this size in Kentucky. This short length of  
stay is possible because of the high level of personal care provided  
by the entire staff, and by the Home Health nurses who extend W
bedside care in the home as part of the hospital follow—up. We  
include more types of services than any other 40 bed hospital in  
this region!  
Our object is to provide health care at a price people can afford it
to pay. We think Frontier Nursing Service demonstrates that j
which the government is trying to achieve in limiting the cost of  
hospital care. But the proposed Hospital Cost Containment Act of R
1977 is excessively restrictive. Because of this, our Governors, our   `
'I‘rustees, and our City Committee members are writing President ·>   ·
Carter or their Representative to state an objection to this  
proposed Act. They are pointing out that this Act will severely   `
inhibit the growth of new hospitals, such as the Mary i
Breckinridge Hospital, and will seriously impair patient care, , °
expecially in rural areas which are already underserved.  i
The Annual Meeting is fully reported on page 55. I want to  _
draw your attention to the several brief speeches made by staff  .
members, the Chairman ofthe Advisory Committee, and especial- 1
ly the remarks of Martha Hayes, a student in the Health Careers l
program, which brought a standing ovation. Y
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W. B. R. Beasley, M. D. Q

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  ouAimanty Burrimw :4
i A SALUTE TO MARY BRECKINRIDGE
  HOSPITAL EMPLOYEES
z Introduction
ii All of Gaul may only have been divided into three parts but the
if! Frontier Nursing Service has {ive major components—the Mary
sl Breckinridge Hospital, the hospital-based Home Health Agency,
  the Primary Care Center (the outpatient department of the
  hospital) and the Primary Care Extensions (the outpost nursing
Q centers), and the Frontier School of Midwifery and Family
l Nursing—all under one administration, but not under one roof,
  overlapping and intertwined, dependent upon one another, but
  each with its own distinct thrust and functions.
lg When one thinks of "Frontier Nursing Service", perhaps the
  first thing that comes to mind are the nurses—R.N.’s, nurse-
  midwives, nurse practitioners—and the doctors and dentist, those
  who are responsible for the actual physical care of the patient.
"£ Their importance in the scheme of things is unquestioned but the
  health professionals—the pharmacists, the laboratory and x-ray
  technologists, the physical therapists, the social workers, as well
  as the doctors, nurses and administrators—would find it difficult
; to function without the support personnel who are necessary for
l the effective operation of any health facility.
; In the last issue of the Quarterly Bulletin, we took a look at the
  Districts; in this issue we salute the employees of the Mary
·$ ~ Breckinridge Hospital base, many of whom are not seen by the
,,5 , patient but without whom no care could be provided. They are
§’ essential.
D1 ~
 i Like many FNS employees, Joanne Farmer is a "jack of all
 . trades". She does secretarial work for the hospital nursing care
  coordinator and the Social Service Department and arranges
 _A patient tranportation for Social Service. As the housing coor-
  dinator, Joanne assigns rooms and apartments to staff. She
  makes out work schedules and distributes them, and she gives
’ tours of the hospital to the many guests who visit Frontier
  Nursing Service.

 4 momiian NURSING simvici; L
Now, in this 1977 SALUTE TO MARY BRECKINRIDGE
HOSPITAL EMPLOYEES, follow us through another
departmental tour of the hospital. We’l1 start right at the front ;
door .... .
REGISTRATION AREA:  
The registration area includes the switchboard operator, the §
cashier and the admissions as well as registration clerks. Each N
section is managed by one person during the day. In the evenings I
and at night, all three jobs must be handled by one or two people.  
"Cindall Morrison—Call 1105, please. Cindall Morrison—Call  
1105." The voice over the PA system is usually that of highly  
trained Margaret Sue Hightower, an efficient professional  
operator with almost eight years of experience. Managing the  
switchboard for the hospital is a rather special task. Not only  
must Sue Hightower answer all incoming calls on eight outside  
lines, transfer them, place outgoing calls and page when A
necessary, but she must also be ready to alert appropriate
personnel during emergencies. There is "Code 24" for cardiac  ‘
arrest, "ER stat" for extreme emergencies, and a disaster alert  
system to ready the hospital for disaster casualties. "I’ve gotten  
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loanne Farmer `

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  Sue Hightower and Lillian Hayes
. several codes before," says Sue. "Just getting one and knowing
.  what it means . . . well, you know, a few seconds can save a
 Z person’s life." Sue and her assistants must also know who is "on
;.  call"—be it physician, midwife, Home Health or family nurse or
_ 2  administrator—and know where each can be reached at a given
j moment.
. In a private booth next to the operator is the cashier, Lillian
I Hayes. Lillian collects cash from private pay patients and checks
I, , the amounts due from third party payors. "I rarely see any lines in
Q, front of the cashier’s desk, so Lillian must be pretty fast," one
i —\ ` nurse commented, "and I know I send a lot of patients out there."
Q _ At the end of each day, Lillian sends each PRIMEX Form (Also
° known as the Encounter or E-form) to the business office for
_ billing and computerization.
“¥ (Much is heard around the FNS about the PRIMEX or
Q Encounter Form so a word of explanation is appropriate. This is a
} onepage sheet made out for each patient on each visit. It follows
  the patient to the nurse or the doctor, to the lab., or to x-ray-
  wherever he goes. Each professional who sees the patient adds
L pertinent medical and financial data as the basis for accurate
` information for billing and research.)
  Each week in the local Leslie County News and
. Thousandsticks News a section called Hospital Report appears,

 ti FRONTIER NURSING SERVICE  
listing all admissions and discharges at the hospital. Brenda  
Davidson, the daytime registration and admissions clerk, writes _
these articles. And, of course, she has all the information at hand _
since she records it when admitting a patient. Brenda writes _
minister notifications, when requested by the patient, and Q
duplicates documents such as lab. and x-ray reports.
If you’ve ever prepared a large meal and had to tend to dozens  
of dishes at once, without burning or having them overflow, you   )
may have an inkling of what it’s like to play cashier, switchboard  
operator, admissions clerk, and register ER patients at the same _
time. Welcome to the evening shift at the front desk! This juggling ,
act is performed by a "crew" of part and fulltime staff who work 3
and relieve throughout the registration area, keeping the
positions covered twenty-four hours a day, seven days a week. We
salute Debra Kemper, Deanna Caldwell, Debra Estep, Barbara  
Gibson, Janet Stidham, Brenda Couch and Beulah Gibson.  
If the MBH operator doesn’t answer right away, remember
that she’s probably pulling a chart or registering a patient! I
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Betty Couch  
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  MEDICAL RECORDS
  Around the corner, just behind the registration area, is Medical
_ Records. Any person ever seen by a health professional in the
C hospital has his own medical record, placed in a color—coded and
j numbered folder and filed away in the Medical Records Depart-
V ment. The history, the physical exam, the SOAP sheets, the
problem list and progress notes, the outpatient visit or the
. inpatient stay- they are all collected in one folder to provide a
permanent, confidential medical history of each patient. Almost a
dozen people work in Medical Records, supervised by Medical
Records Technician Betty Helen Couch, A.R.T. Another A.R.T.-
_ qualified technician is Deborah Woods, the Health Care Coor-
f dinator, who makes sure that what is done for inpatients meets
  _ the standards of the Kentucky Peer Review Organization. Sue
. Norris, Ruby Moore and Judy Napier transcribe an army of
° ` papers for the medical record and the health records analyst,
, _ Shelby Cornett, keeps abstracts on discharged patients and
. statisticallanalyses of patient charts for better quality of care.
  Ruby, Judy and Shelby are also working hard on the cor-
3 respondence course which will give them the A.R.T.-
 -» qualifications that Betty and Debbie already have. While Shelby
  collects information for medical audits, Juanita Couch sends out
; patient information to the districts and checks various statistics,
` especially abstracts on patient admissions and data on outpatient
- visits. Problems with the E-Form also filter back to Juanita,
§ according to Betty. Among other tasks, file clerk Carolyn Johnson
§ maintains order in the record files and pulls charts for ap-
E pointments. In addition to this core of workers, the department is

 8 mogmi NURSING smzvics
sometimes helped by the registration area staff in times of l
excessive stress. E
Some of the Medical Records personnel are housed in the Old ~
Hospital. Nancy Williams, who began her FNS career in the old  i
central records office at Wendover in 1964, has charge of the over lp
17,000 closed midwifery records and maintains the master  
register of every FNS delivery since 1925. She keeps track of all  
district patients "in count" and knows whether they are babies, or 3-.
children or adults. From Nancy’s master file one can find the .
name of the parents and siblings of each district patient and
where that person’s record is located. If a patient moves from Red
Bird to Flat Creek, or from Brutus to Ohio, Nancy knows it. When
the computer print—outs are returned to FNS from the University
of Kentucky, Nancy transfers the information to the appropriate
report forms to give a total picture of district patient statistics,
month by month, year by year.
The medical records of the Home Health Agency, the group .
which takes care of patients in the home after they are discharged
from the hospital, are kept in working order by the Coordinator,
Verna Potter and her assistants. Brenda Carroll transcribes and
enters records for the six nurses, four aides and the physical
therapist, and can do any other office procedure when necessary. .
Claudette Grubbs is another "wonder woman" who keeps the log, ,
the cross file, the admission and discharge records and prepares .
all the recertifications for the doctors and checks and submits the
encounter forms to the business office. p _
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Nancy Williams  

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Juanita Couch

 io mzoumzu Nunsmc smwiciz 5
PRIMARY CARE CENTER  `
The outpatient department ofthe Mary Breckinridge Hospital, ; 
renamed the Primary Care Center, is kept running smoothly by  {
three first floor personalities: Peggy Hacker, outpatient secretary, »
Jackie Sizemore, secretary to the midwives, and Mallie Sizemore, ,. ,
secretary for pediatrics. Peggy, Jackie and Mallie are like ·
lighthouses for struggling doctors and nurses in a sea of patients! $
Where would a physician or a nurse be if they could not rely on this gw
trio to schedule their appointments, serve as receptionists, provide i
information, keep up with who is supposed to be where and when,
and handle a host of other activities too numerous to list?  
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 _ DIETARY SERVICES
Y "The best food and best cooks in Kentucky, " said MBH dietary
  consultant Joyce Price about the staff of the dietary department.
1 The Joint Commission also gave special recognition to the dietary
F I department and its Foor Service Manager, Mae Campbell. The
cafeteria serves regular inpatient and employee meals and
’ prepares all necessary special diets. These include low salt,
e~ diabetic, clear and full liquid, low calorie, low residue- and any
F other diet the physican might order. Inpatient meals are carried
up two floors to the medical-surgical and maternity wards, while
X employee meals are served in the cafeteria on the ground floor. At
? lunchtime, one is apt to End halfthe Hyden business community
` in the cafeteria—and the other half had been there earlier in the
I day for donuts!
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Sanitary conditions must be maintained at all times, and the i
cafeteria is inspected every six months or so by the Health E
Department Sanitarian. One recent inspection resulted in a Q
perfect "zero" rating, meaning nothing was found wrong, the only  i
zero rating ever given in Leslie County. g h
The menus are planned by Mae and Joyce and the meals are  
prepared by head cooks Geraldine Collins and Jean Muncy;  
assistant cooks Jane Muncy and Virginia Whitehead; by salad  
chef Georgia Osborne; and pastry chef Etta Mae Collett. Della "
Mae Sizemore, Edith Wooton, Marie Young, Luly Asher, Lucy J
Lewis, Dolly Kilburn and Polly Sizemore serve the meals, man the
cash register, clean up and perform other necessary functions. -
Covy Feltner stocks all dietary supplies in their appropriate
places at the proper temperatures, handles the vending machines
and makes himself generally indispensible.
Many of the dietary staff have been with FNS for years and
made the transition from old hospital to new between lunch and
dinner with no problem at all.
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Mae Campbell

 14 mzoumm Nunsmo smzvics
HOUSEKEEPING
You have to have a system to keep any large building clean
whether it is a home or an institution. Lillie Campbell, the laundry .
and housekeeping supervisor, has more than a system—it’s a , 
clockwork operation. Every worker in the department knows the :2 ~
jobs required, when the tasks need to be done, how long it takes, ,
and what the results should be. "We had a time organizing it all  
when I first came down here," says Lillie, who was, for many ii;
years, the receptionist on the evening shift in the old hospital. `
"lt’s full time just to keep the first floor clean and neat so that
when someone walks in, they know they’re walking into a clean
hospital." So she coordinated a system that not only keeps every
room and hall sanitary, tidy and shining, but also keeps linen and
scrub gowns clean and folded. The Joint Commission was most
complimentary of Housekeeping and Laundry.
Annie Sizemore manages the soiled laundry, with four
washers and two dryers. She collects it from all over the hospital
and gathers it in the laundry room on the ground floor, and sorts
out what goes to the London laundry service. Linda Couch irons,
folds and dispenses the clean linens back to the appropriate
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Bernadine Hoskins and Sadie Begley

   QUARTERLY BULLETIN Q
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Linda Couch Annie Sizemore
S departments. Besides the laundry, Linda and Annie are responsi-
ble for keeping several rooms clean and for "spot cleaning"
(cleaning when and where needed) on the ground floor. Long-time
employee Lucy Sizemore, who struggled for years to try to keep the
old battleship linoleum floors clean in the maternity area of the
old hospital, now fills in in the laundry twice a week and also
cleans the new maternity department and parts of the third floor.
To maintain the appearance of each floor, Lillie has Catherine
  Couch and Ira Rice on the first floor, Janice Maggard, another
  "old" employee, on the medical-surgical floor, Louise Brock on
 , maternity, and Sadie Begley "floating"—doing a little bit of
ii everything everywhere. At night, Gary Collett and Joe Osborne
` check and work on all floors (except inpatient), assuring twenty-
four hour sanitary conditions. The icing on the cakeis provided by
Walter Walker who is a specialist in shining floors. When Walter
shines a floor, IT SHINES!
_ On Hospital Hill, long-time staffers Ellen Morgan (best known
for her yummy cinnamon rolls), Bernadine Hoskins, and Doshia
Bowling (for many year the "mother" of the student midwives in
· Mardi Cottage) ready rooms for guests and clean for staff living in
Haggin Quarters, Mardi Cottage and in the Barn, and make sure
the remodelled old hospital is just as spick and span as the new
one.

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Ji  john Campbell
 li When the Joint Commission accredited the hospital last
November, special recognition was given to maintenance and
security. Under the supervision of Chief Engineer John Campbell
and the administration of Fred Wilson, a crew of seven men in
maintenance and four in security make sure workers and patients
do not have to wonder whether the heat will work or whether there
is enough oxygen in the tanks (warning alarms go off in John
Campbell’s office and throughout the hospital when the oxygen
system switches to the reserve supply). Licensed journeyman and
plumber Dock Hacker, along with Paul Jones, Sherman Woods,
Dean Brown and James Glenn Sizemore constitute the

  
is l·`RON'l`Il<]l< NURSLNG siauviunc 2
maintenance crew. Certified mechanic Bill Mauk was recently ‘
hired to care for FNS vehicles, including giving a driver’s test to ·
staff. ,_
During his six years at FNS, Fred Wilson has taken on a broad ,
spectrum of tasks. He reports maintenance requests to John il.
Campbell and insures service on all equipment by contracts with `
such organizations as IBM, Pitney-Bowes, Ohio Medical, Dixie  
Oxygen, etc. Fred runs the receiving office; he is the fire marshal,  
checking fire safety in the hospital; and controls the keys to all  
areas in the hospital and on Hospital Hill. V
Clifford Whitehead, Jerry Maggard, Ed Watts and Don
Pennington cgver the hospital and the hill twenty-four hours a
day, doing minor maintenance chores, helping with stretcher ,
patients when necessary, and reporting or stopping any trouble.
During the icy winter weather, these men made sure that essential i
staff got up and down Hospital Hill, or to work from further afield, »
and, if the city water goes off, they are always ready to take a  
quick trip to Wendover to fill up all available containers!
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