xt7xks6j2j8r https://exploreuk.uky.edu/dips/xt7xks6j2j8r/data/mets.xml The Frontier Nursing Service, Inc. 2008 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. 84, No. 1, September 2008 text Frontier Nursing Service, Vol. 84, No. 1, September 2008 2008 2014 true xt7xks6j2j8r section xt7xks6j2j8r Ii I   FRONTIER NURSING SERVICE
I Volume 84 Number 1 Scptcmbcr 2008
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Wendover Trees
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g Recognizing what we have done in the past is a recognition
of ourselves. By conducting a dialogue with our past, we are ·
searching how to go forward. —Kiy0/co Takeda `
The past is but the beginning ofa beginning, and all that is and y
has been is but the twilight ofthe dawn. —H. G. Wells p

i Field Notes
  Clinics Update by Ben Peak, Director
  One of my strongest impressions of Mrs. Breckinirdge was her
desire to provide healthcare seryices for a particular group and this
impression is reflected in our motto . . . "for mother and child".
` ln an effort to provide services for a particular group, the Frontier
Nursing Healthcare (FNH) has worked in conjunction with County
  ofLeslie Lifting Youth (C.O.L.L.Y), and the Leslie County Board
  of Education, to establish a School Located Clinic at the Stinnett
j Elementary School. This service provides daily nursing care,
t administrative support and a nurse practitioner twice weekly
j for acute care needs. The objective of this service is to support
  the educational process while providing primary healthcare and
l healthcare education.
j As a result of this Program the Stinnett Elementary School has
[ realized increased attendance, improved student test scores and
  improved rankings among other schools in the state. Students
j have also been provided the opportunity to avail themselves of
j the services offered when in need of required school physicals
instead ofhaving to leave school and miss class.
{ Beginning with this school year, the FNH and C.O.L.L.Y. will
expand this project by providing these same services at the Hayes
Lewis and W.B. Muncy Elementary Schools. Once construction of
a new elementary school in Hyden is completed, we will provide
lk this seryice there also.
Q We have been able to demonstrate the benefical impact that this
§. seryice provides and we hope to use this model in demonstrations
l to the state of Kentucky as a model of care to be provided to
students throughout Kentucky.

The Frontier School of Midwifery & Family Nursing (F SMFN)
was recently awarded three grants from the Health Resources and 1
Services Administration (HRSA). These grants totaled over $1.7 —
million and will be used over the next three years for FSMFN
programs. FSMFN’s receipt of these grants demonstrates the high
caliber programming that the FSMFN is implementing and the '
positive impact that the FSMFN has on nursing education and
healthcare. 1
Send in updates of your work, family or travels to be included y
in the "Class Notes" of the next Beyond the Frontier Magazine.  
For more information please send e-rnail to alumniservices@  
frontierschool.edu or mail to Alumni Relations, P. O. Box 528,  
Hyden, Kentucky 41749.  
SAVE THE DATE! The Annual FSMFN Alumni Weekend will be l
held May 9 and l0, 2009, in Hyden. Please make plans tojoin us!
For more information e-rnail or mail to the address listed above. I
From June lst — September lst, Wendover hosted a total of 710  
guests. This number includes overnight guests, guests for 1unch/ I
dinner, meetings and tours.  
Leslie County’s Annual Relay for Life was very successful. FNS _
raised $1,500.00 with over forty FNS participants.
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Wendover hosted three Couriers this summer; Caitlin Miller
— Smith College, Paula DeCrescenzo — Bennington College and  
Anne Peale — Dartmouth College. The Couriers enjoyed observing  
providers during their time here. L

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  A Special Guest at Wendaver
l During August, John Andrew Carter Heinle and his friend,
i. Sara Crewson, visited Wendover while in town for the Osborne
Brother’s Festival. John is the son of fonner Courier and current
FNS Trustee, Carlyle Carter, and the grandson of fonner Courier
' Joseph Carter.
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J0l1n Andrew Carter Heinle and Friend
  The Osborne Brothers Hometown Festival held in Hyden during
August was a great success with over 4,000 people in attendance!
Special guests included Dr. Ralph Stanley & His Clinch Mountain
y. Boys, J .D. Crowe & The New South, Lonesome River Band, Bobby
g Osborne & The Rocky Top X—Press, The Grascals, The Sullivan
i Family, The Moron Brothers, James Monroe, Vice Combs, Dean
I Osbome Band, J.P. Mathes & KSBTM Ensemble, Curtis Burch,
The BOJ (Bobby Osborne Jr.) Kenny Baker, Crossroads, Ramblin
[ 7

Grass, Tommy Brown, The Baker Family, The Combread Express,
Kentucky Wind, The Mountain Connection, Larry Efaw and The
Howard Family.
Contributors toward the Festival events were The Kentucky ,_
School of Bluegrass and Traditional Music, Frontier Nursing
Service, Hyden Citizens Bank, TDS (telephone service), City of
Hyden and Leslie County Fiscal Court. Thanks to everyone for ·
a great time! p
Fallen Trees .... Wendover I
During August, we were saddened when a huge Oak tree fell on {
the Wendover Garden Shed. The Garden Shed was located next .
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to the driveway going to The Big House. ;
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ln Memory of Joesph (Joey) Roberts
Friday, July 25, 2008, Joey Roberts, F onner Maintenance Foreman
at Wendover, died from a coal mining accident which occurred
,_ July l7tli. Joey worked at Wendover from June 2003 — September
· Ken Tuggle, FNS Board Member said it best — “Joey was an asset
to FNS that helped make Wendover bIoom."
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Beyond the Mountains
by Barb Gibson A
Frontier School of Nurse-Midwyery and Family Nursing  
Faculty Honored l
During The American Academy of Nurse Practitioners (AANP) `
Annual Meeting, three Frontier School of Midwifery & Family y
Nursing Faculty were honored with the AANP State Award for _
Excellence and the Nurse Practitioner (NP) of the Year from their j
respective states: Dr. Julie Marfell, Chairperson ofthe Department l
of Family Nursing, was awarded the Kentucky NP ofthe Year; Dr.  
Donna Gill, Course Faculty, was awarded the North Carolina NP I
ofthe Year and Dr. Joyce Knestrick, Director ofthe DNP Program,  
was awarded the West Virginia NP of the Year.  
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Dr: Julie Marfell, Di: Donna Gill and Dr: Joyce Knestrick {
10 X

Methicillin Resistant Staplrylococcus Aureus (MRSA) Summit
July 29th—August lst, Linda Craft, Director of Nursing, and
t Angela Wooton, Interim Infection Control Nurse, attended a
state wide MRSA Summit in Louisville, Kentucky. The Summit
was a call to action for hospitals, long term care centers, schools
' and incarceration units to learn the latest and best practices for
preventing MRSA infections.
International Coiferleration ofMidwives (ICM) 28th
Triennial Congress in Glasgow, Scotland
Dr. Susan Stone, Kitty Ernst, Suzan Ulrich, Kathryn Schrag, CNM,
I FNP, MSN, Regional Clinical Coordinator, along with Miss Jane
Leigh Powell, Chairman ofthe FNS Board of Governors, traveled
to Scotland for the ICM Triennial Congress.
The opening ceremonies were spectacular. Midwives from
all over the world were dressed in the colors and costumes of
their countries; Aussies 475 strong with red bush hats, Korean
midwives in beautiful gowns, African midwives in colorful
r headdresses and American midwives in blue jeans! The flags of
each nation were presented by the Scottish Youth Theatre with
. cheers from the patriots. Entertainment was performed by all the
I countries ofthe British Isles. The Neilston & Districh Pipe Band
i of Scotland performed Scottish songs. The Scottish Opera and
l Orchestra presented arias. The young people ofthe Scottish Youth
_ Theatre entertained with song and dance. lrish step dancing was
presented by the McCutcheon Dance School of Ireland. Wales was
represented by the Rhymney Millennium Choral. The Choir ofthe
. Royal College of Midwives from England performed. The finale
was the Cavern Beetles from Liverpool who rolled onto the stage
as John, Paul, George and Ringo. When they started singing the
well known ballads, the auditorium erupted with midwives hom
. all over the world dancing and singing along.
L - . .

Dignitaries such as Her Royal Highness Princess Muna Al Hussein
from Jordan, Her Royal Highness Princess Anne from Great
Britian and Sarah Brown, wife of the British Prime Minister,
Gordon Brown, and Patron of the White Ribbon Alliance in the
UK spoke to the delegates throughout the week. There were many _
interesting and inspiring presentations. There was much talk in
many languages but it was evident by the universal smile that
midwives are midwives wherever they come from. »e
Dr. Stone did a presentation on the distance leaming model in
midwifery education with the FSMFN being showcased. Suzan
Ulrich did a presentation on the socialization of midwifery students
as seen in their first birth stories and a poster presentation on her
qualitative research on factors that influence nurses to choose
midwifery as a career.
Being a part of the ICM was inspiring. You could see beyond
yourself and your tiny part ofthe globe and realize that the health of
mothers and babies is the cmx of society just as Mrs. Breckinridge
taught us. We have much to do to improve the health status of
mothers and babies. The FSMPN will do its part.
Old Courier and Stay News
Joan Court, England, was a nurse in 1948 at the Flat Creek _
Nursing Center. Ms. Court recently wrote that her time at FNS
was the highlight of her career and she used her expertise as a
model when she worked as a midwife adviser to the W.H.O. in
Pakistan and Turkey.
Susan Warner, PNP, Aurora, Colorado, stayed at the Wendover '
Upper Shelf during June while visiting former FNP Sharon Koser
at the Hyden Nursing Home. Sue said that being at Wendover I
rekindled cherished memories of her early years when she
lived in the Upper Shelf.
. I.

Excezptsfirom I/Wde Neighbor/100ds
by Mary Breckhzridge, Founder
_  . . . All that fall my father and I made our headquarters in the
Hyden house the Kentucky Committee had rented, on the site
where Miss Huston’s house, “Cherr"y Comer," stands now. He
, insisted on taking care ofthe nurses’ horses, grooming and feeding
and watering them. He bought a small set of tools and put himself
at the disposal of the nurses for minor repairs about the place.
In another way, my father was of more use than he realized. He
became a member of our Hyden Committee and attended the
meetings we held monthly while our work was getting underway.
His knowledge of parliamentary law got everything off on the right
footing, and his geniality gave the meetings ease and friendliness.
I was struck by the costume he always wore at these meetings —
Heaven knows why. Although he kept to the khaki riding trousers
and leggings which were a part of his regular daytime dress, with
them he wore a frock coat made for him by Pool, in London, years
before. The upper accessories were those that went with a frock
coat. He looked like a statesman from the neck to the hips, and a
horseman from there on down.
A Another pleasant older person, Mrs. Caroline Cafiin, joined
her daughter in Hyden as soon as we had a house. She was not
nearly so old as my father but combined with him to give our
little establishment a family feeling. Mrs. Cafiin undertook, as
her share of the work, the hardest post of all - that of volunteer
housekeeper. With one of our neighbors in by the day to cook our
' meals, and the help of a man to clean out the barns and do other
work too heavy for my father, we got along comfortably enough,
and pooled the living costs among us. Unfortunately, the horses
I had no proper horse lot so they came up on the porch to eat the
tomatoes and lettuce set out on the railing. When they walked
across the porch, the whole house shook. It was so designed that
you had to go out to come in at every room, and was so sketchily

constructed that the air blew in from a thousand cracks. In one
of my many letters to my cousin, Dr. Josephine Hunt, I find this
plea: "Josie, darling, please telephone Blank Hardware and ask
them if they have drunk the Pyrene extinguishers and fillers. This
old house is not safe with its loose chimneys. Ask them to speed _
the order up."
Many of my letters written to outside firms cany the same note . '
of chaff in urging them to make shipment. Sometimes, however, ,
when things had been hauled across from the railroad, and turned
out to be the wrong sizes for whatever they were to fit, my letters
took a piteous tone such as: "if you all had a heart, you would
check your order before shipping it." Then I would explain all
over again about the long haul in, the long haul out (when things
had to be returned), and the long, long delay.
As I compare the costs of things in the l920’s with the costs of
things in 1951, I am struck by the difference. For example, I
find that by the end of our first year of work we had ordered the
following articles for horses - seven saddles, seven bridles, four
halters, three curry combs, four brushes and eight blankets, at a
cost of $123.66. In 1951, these things would cost $611.45. Our
first saddlebags, from surplus Army stock, were much too small
for our supplies. On the ride Ireland, of Scotland, and I took from
Berea to Hyden, we met a man at Tyner in Jackson County who
made saddlebags by hand, out of the softest and finest quality
leather, for $13.00 a pair. This man made all the large, roomy
bags that the FNS nurses, couriers and guests knew so well,
with metal buttons inside to which we fasten our bags, one with
a white lining for midwifery only, and one with a blue-checked ‘
lining for general nursing. The midwifery bag, packed, weighs
thirty pounds. The utmost care has to be taken to have the weight `
evenly distributed or there might be trouble with the horses’ back.
A bad back on a horse in the FNS has always been the same kind
of disgrace as a bad back on a patient in a hospital bed.

by Nathan Lee, President & CEO
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Ruth Beeman and Du Anne Wasson
In 1983, the Frontier School of Midwifery and Family Nursing
(FSMFN) found itself in search of a Dean. Its student base was
dwindling, its faculty was almost non—existent, and it was in
desperate need of reinvigoration. To be successful, this new Dean
I would have to have a strong belief in the value of advanced practice
nursing, a broad knowledge ofthe tools of public health, and most
l importantly, a healthy dose of ingenuity. In Ruth Beeman, the
School found all of this and more.
Recently, Ruth reminisced with us about her days at FSMFN. She
fondly recalled the invitation she received inviting her to service

at the FNS that drew her away from a comfortable position at
Arizona State University to the mountains of Leslie County. She
recalled the challenges she faced when she realized that not only
was she the Dean of the School, but also one of its only faculty
members. She recalled the success she had when calling upon her ii.
professional friends to teach and precept students so they could
finish their course—work. She recalled the excitement of working
with Kitty Ernst and Kate Ireland to help lay the groundwork "
for what would ultimately re—invent the School into the distance
education program that exists today; a fully—accredited institution
with more than 500 students from fifty states and seven foreign
Ruth continues to leave her mark with us. We were recently
notified that Mrs. Beeman has designated Frontier as a beneficiary
ofa charitable gift annuity. This planned giving vehicle allows
Ruth to receive a monthly income and have the remainder of the
funds distributed at the end of her life as a permanent legacy. We
are honored to name Ruth to the Banyan Tree Society, an honorary
status for the echelon of friends of the FNS who have notified
us of their plans for testamentary gifts. This gift is a wonderful
expression of Ruth’s love for our important work.
We cannot live only for ourselves. A thousand fibers connect us
with our fellow men. - Herman Melville
Provision for others is a fundamental responsibility of human
life. — Woodrow l/Wlson .,

Frontier School of Midwifery & Family Nursing News
by Suzan U/rich, CNM DrPH, FACNM
Chair Qffi/lflllirl/’i](f3lj/’ and Wonzen Is Health
rr American Callege 0fNurse-Midwives (A CNM)
Annual Meeting
Boston was the site of the 53rd Annual Meeting of the ACNM.
" "Bean Town" and its history of tea parties and revolution was the
setting for Eunice "Kitty" Ernst, the FSMFN Mary Breckinridge
Chair of Midwifery, to preside over the meeting as President
of the ACNM. Kitty has the distinction of being the "oldest”
President ofthe ACNM. She also was the "youngest" President of
ACNM during her first tenn in 1961. Kitty addressed the ACNM
saying heathcare in the USA is at a critical juncture and never
before in history has there been so much attention to midwifery!
She encouraged all members of ACNM to become involved in
the revolution that needs to happen in the healthcare system.
With Kitty leading the way, the FSMFN had much to be proud
of. . . Joan K. Slager, CNM, MSN, FACNM, FSMFN Graduate
received the Dorothea M. Lang Pioneer Award. This acclaimed
award honors a CNM who has demonstrated vision and
leadership. Joan is the Director of Bronson Women’s Services, the
largest nurse—midwifery practice in Michigan. She is a Certified
Professional Coder and has worked to maximize reimbursement
for nurse-midwives in her own practice and other practices by
offering workshops throughout the USA. She wrote a business
text for midwives and nurse practitioners entitled Business
{_ Concepts for Healthcare Providers.
I was also honored to be inducted into the Fellowship of
.. the ACNM. This honor is bestowed upon midwives whose
professional achievements have rnerited them recognition both
inside and outside the midwifery profession. I was thrilled
and it was especially nice to have Kitty present me with my

Susan Stapleton, CNM, MSN, Director ofMidwife1y Services at
the Frontier Nursing Service, was also honored by being inducted
into the fellowship ofthe ACNM.
Joanne Bigness, CNM, FNP—C, PhD, FSMFN Course Coordinator
for Pharmacology, received the Excellence in Teaching Award.
The FSMFN students voted her this honor for her careful attention
and support. A
Kathryn Osborne, CNM, MSN, PhD(c), FSMFN Course
Coordinator, received the Best Poster Presentation of Research
for her work with Lisa Hanson, CNM, PhD, FACNM, entitled
A Pi/ot Studv to Learn About the Use o/`Sel/iRegu/ated Pushing
During Second Stage Labor.
A focus Group of CNMs; Kelly Roberts, RN, FSMEN 2008
graduate, received the Best Student Presentation of Research for
her work entitled Certified Nur·se—Midwives Reduce Cesarean
Section Rates Among Massachusetts Hospitals. This research
was an outgrowth ofthe assignment she completed for one ofthe
courses I teach at FSMFN. I was thrilled and proud watching
her present such an excellent study in a poised and professional
Blue Bradley, RN, F SMF N student, received the W. Newton Long
Award to fund her establishment of a rural home and hospital
birth practice.
Erin Hannah Tenney, RN, ESMFN student, received a March of .
Dimes scholarship to support her education at FSMFN.
The FSMFN held its Annual Reception at the ACNM Meeting  
with Susan Stone, CNM, DNSc, FACNM, President and Dean,
presiding. It was a special time for FSMFN students, faculty, staff,
and alumni to get together and reconnect and, of course, to sing.

Milestone in ADN-to-MSN Bridge Reached!
By 77'LS`]7 Voss, DNR MSM CNM Director; ADN-MSN Bridge
i Bridge Class 57 was welcomed back to Hyden the week of August
ll-l5 for their Crossing the Bridge intensive. Fourteen students
,_ attended the iive—day session along with Dr. Trish Voss, Bridge
Director, and Laura Hollywood, Bridge faculty and Class 57
Advisor. Everyone was excited to be back at the FSMF N campus
and to see their classmates and faculty again!
The objectives ofthe Crossing the Bridge intensive are to reinforce
the connections students forged between themselves and the
school when they attended Frontier Bound, and to prepare them
to transition to the clinical specialty courses. While at Crossing
the Bridge, students present their Community Nursing project,
attend workshops on test—taking and leaming via case studies and
spend time reflecting on the Bridge year and reconnecting with
each other. The week culminates with a special ceremony where
students “cross a bridge" as Frontier nurses and celebrate with a
dinner at Wendover.
This was the third and final group of students who started during
the pilot year ofthe Bridge program. During 2007 (the pilot year),
three ofthe six Frontier Bounds included a class of Bridge students.
Twenty students were offered admission for each Bridge class. The
Program has been so successful that in 2008 four ofthe six Frontier
Bounds will include a class ofBridge students, and we have hired
" a third faculty member, Rachel Carlton, to teach in the Bridge. At
this time, we are preparing to admit Bridge Class 62 and Bridge
Class 63 for the August and September Frontier Bounds. These
t` will be the fifth and sixth groups of Bridge students, bringing the
total number of students admitted to F SMFN via the Bridge entry
option to 125 as of Fall Term 2008. We are currently in the process
of reviewing applications for the Winter Term Bridge Class 64.

The ADN—to—M SN Bridge is an entry option for registered nurses
(RNs) who do not have a bachelor’s degree in nursing or any
other discipline. The Bridge consists of seven courses (20 credits)
completed over four l2—week terms. These courses provide
students with the essentials ofbaccalaureate nursing education in _
order to prepare them for the course work in the clinical specialty
tracks. Bridge students are admitted directly into the Master of
Science in nursing program at FSMFN, so once they successfully »
complete the Bridge year they seamlessly transition into their
chosen clinical specialty tracks (nurse—midwifery, family nurse
practitioner or women’s