xt7xsj19n05q https://exploreuk.uky.edu/dips/xt7xsj19n05q/data/mets.xml The Frontier Nursing Service, Inc. 1997 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. 72, No. 3, Winter - March 1997 text Frontier Nursing Service, Vol. 72, No. 3, Winter - March 1997 1997 2014 true xt7xsj19n05q section xt7xsj19n05q FRONTIER NURSING SERVICE  
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1
US ISSN 0016-2116 1
Table of Contents 1
Introduction to the Frontier Nursing Service 1  
Report of Operations 3 ,1
. 1
Beyond the Mountains — Deanna Severance 4  
Wendover News - Barb Gibson 8 Q
lr
Courier Program Update — Karen Thomisee 9  
Notes from FSMFN/CNEP - Susan Stone 15  
r`
CNEP in Michigan - Barb Gibson 17 K
1:
Miscellaneous 19 at
Memories of FNS — Alice P. Crawford 21  
FNS Remembers George C. Bauer - Barb Gibson 22  
FNS Remembers Philip Vaughan — Betty Vaughan 23  
In Memoriam /In Honor of 24 1 ;
Cover: Wendover's new wooden fence before the March 4, 1997 flood
almost totally destroyed it (see page 14). Photo by Barb Gibson
Visit our Web Site http://www.baref00t.com/fns  
1
  ]
  `
Frontier Nursing Service Quarterly Bulletin J`
Us ISSN 0016-2116 Q.
Published at the end of each quarter by the Frontier Nursing Service, Inc. 1
Wendover, Kentucky 41775  
Subscription Price $ 5.00 a Year for Donors 5
Subscription Price $12.00 a Year for Institutions  
Editor's Office, Wendover, Kentucky 41775  
VOLUME 72 NUMBER 3 Winter March 1997 1
  1
Second-class postage paid at Wendover, KY 41775 and at additional mailing offices.  
POSTMASTER: Send address changes to Frontier Nursing Service, Wendover. KY 4|775.
Copyright Frontier Nursing Service, lnc.l997All Rights Reserved
1
1
1

 i
!» QUARTERLY BULLETIN 1
1
The Frontier Nursing Service
( Hi! Uyou have never been introduced to the Frontier
l Nursing Service we would like to take this opportunity to brief you
V, on the history and the on-going work ofthe Service. We encourage
F you to share this Bulletin with afriend.
lf Bom in 1881 into a prominent American family, Mary
  Breckinridge spent her early years in many parts of the world -
i Russia, France, Switzerland and the British Isles. After the death
of her two children, she abandoned the homebound life expected
i of women of her class to devote herself to the service of others,
It particularly children.
l Mrs. Breckinridge established the Frontier Nursing Ser-
vice (FNS) in Leslie County, Kentucky in 1925, then one of the
I poorest and most inaccessible areas in the United States. Mrs.
1 Breckinridge introduced the first nurse—midwives in this country.
l Riding their horses up mountains and across streams in blizzard,
  fog or flood, the FNS nurses brought modem healthcare to families
  throughout an area of 700 square miles.
ll Until her death in 1965, Mary Breckinridge was the
lg driving force behind the work of the Service whose influence
  today extends far beyond eastem Kentucky. Through the Frontier
ll School of Midwifery and Family Nursing hundreds of nurses have
been trained and this important concept of family healthcare has
been carried throughout the world.
p` Today the FNS is organized as a parent holding company
it for Mary Breckinridge Healthcare Inc., home health agency, four
V- outpost clinics, one primary care clinic in the hospital, Kate
Ireland Women's Healthcare Clinic and for the Frontier School of
Midwifery and Family Nursing - the largest midwifery program in
I; the United States.
  Remarkably, the purpose and philosophy of the FNS has
  remained constant since 1925. -Deanna Severance, CEO
i
I
l

 2 FRONTIER NURSING SERVICE   M
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The Big House - Home of Mary Breckinridge, Wendover, KY
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Mary Breckinridge - Founder ofthe FNS  .

 A QUARTERLY BULLETIN 3
  Report of Operations
q The following is a condensed Repon of Operations for the
3 year 1996 ending in September. Detailed statistics are printed in
{ each September issue of the Quarterly Bulletin.
i Patient days 5,797
» ·‘ Deliveries 174
  Operations 742
  X—rays 12,674
[ CT scans 996
  Mammograms 330
1 Physical Therapy 6,800
l Home Health visits 34,038
I Hyden Clinic visits 22,419
l Kate Ireland Women's visits 4,035
I Emergency Room 8,918
l Beechfork Clinic 4,389
{ Community Health Center 3,663
[ Wooton Clinic 2,103
Courier volunteer hours 4,171
Number of Couriers 16
Nursing and other volunteer hours 2,952
Number of other volunteers 19
Patients registered since 1925 256,620
T Maternity cases delivered since 1925 24,274
· Maternity deaths since 1925 (9 puerperal, 2 cardiac) 11
Y Total number of graduates since School began 980
i Total number of CNEP students enrolled at this time 339
_ Total contributions: 1 ,078,714.00

 4 FRONTIER NURSING SERVICE  
Beyond the Mountains {
l
"For you there's rosemary and rue; these keep seeming I
and savourall winter long. "Shakespeare The Passionate Pilgrim. ;
As I write to you, spring is almost upon us. This winter l
has been very mild in these Kentucky mountains compared to the l
last three years. Even so, we will all be glad for the changing ofthe
season.
Keeneland Foundation K
December 16, 1996, Dr. Anne Wasson and I were honored ‘
to be guests at Keeneland to receive a generous gift from the
Foundation to be used to build handicapped ramps at Mardi
Cottage Classroom and the Haggin Dormitory. Many thanks to
Mr. Bill Greeley, CEO of Keeneland and to the other members of  
the Foundation for their continuing support of the FNS work!
Y » ,,   T    il}
i ‘   `·‘`  
 D anna Severance and Mr. Bill Greeley from Keeneland

 i
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  QUARTERLY BULLETIN 5
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New steel retaining wall
J New C0mputer System - MBHC
The mainframe computer system at Mary Breckinridge
Hospital was 20 years old and had been upgraded as much as
possible. Two years ago we were notified that the system would
I not be supported after December, l996. In the fall of 1996, MBHC
 p purchased a new system from Lowe's Computer Services, Inc. in
Louisville, Kentucky. The Board and Administration decided that
 . a loan would be appropriate for this expensive investment. The
  Leslie County Judge Executive Onzie Sizemore and Leslie County
Magistrates Billy Sizemore, William Lewis, James Boggs and
_., Ruie Caldwell graciously passed a motion allowing the FNS to use
the County's low interest bond money for this purpose. From all of
us at the FNS a big "thank you ! " to our Judge and Magistrates and
·· to George Stump at Fifth Third Bank for this financing.
-Deanna Severance, CEO

 8 FRONTIER NURSING SERVICE  
Wendover News !
u
Susie Hudgins has undergone surgery for colon cancer  
but we all feel very fortunate that the cancer had not spread. She  
will be taking some chemotherapy as a preventive measure. That I
will take up to six months to complete. I cannot write Field Notes  
like Susie, but I ’ll tty to update you on what's happening at  
Wendover. U you would like to send a card to Susie, send it to if
Wendover and we ’ll get it to her.
The past three months have brought us very little snow,
some freezing temperatures which lasted for only a few days and
then summer-like weather the rest of the time. Some days have
really felt like summer and I'm writing this during the second week
of February. I passed by Dr. Anne's office recently and saw Dr. `
Anne, Christine, the housekeeper, and Karen, Courier Coordina-
tor, totally engrossed in looking at flower/plant catalogues. They're
ready to start "gardening".
Maintenance projects that have been finished are: remod-
eling of the "grab house" to be used as a fireproof room for storage
of files; the wooden fence along the road in front of Wendover; the
Garden House has been completely repainted inside; the Bam
(Accounting Offices) will be repainted; the Big House will have _
it's inside colors changed soon; and the blacksmith shop has a new p
concrete floor so that Carl Severance can begin making FNS —
horseshoes.
We've had a couple of tours, two Level III dinners and
Karen Thomisee (Courier Coordinator) spoke about the history of
FNS to the Kentucky Association of Nursing Students in Lexing- “’
ton.
We miss Susie very much and hopefully, she will be i
back in time for the next Field Notes.
—Barb Gibson

 E
  QUARTERLY BULLETIN 9
l Courier Program Update
I
r
l The winter isflying by and still not much snow! Here in
l Leslie County we have been blessed by intervals ofspring weather
;r amidst the winter cold, or all four seasons in a day, as some say.
  Couriers continue to expand the involvement ofthe Pro-
{_ gram in the community.
Two Couriers have come and gone since the last Quar-
terly Bulletin; we always hate to say good-bye, but the Garden
House is resounding again with the voices of our spring group.
Amy Dorn came to us from Chicago, Illinois where she is
a graduate of Northwestem University. Amy, who majored in film
_ studies, is interested in midwifery and women's health. Amy has
volunteer experience as a nurse's aide and worked for a non—profit
women's health organization in New York City. During her stay at
Wendover, Amy dedicated much of her time to the Kate Ireland
Women's Center where she observed and assisted Betsy
MacMillan,CNM, both in clinic and at births. She also attended
classes with the CNEP Nurse-Midwifery students during their stay
in Hyden. Amy was able to continue pursuing her interest in
documentary film and video by visiting "Appalshop", a media
» initiative located in Whitesburg, Kentucky that focuses on Appa-
I lachian culture. Amy has retumed home to Chicago where she will
‘ continue taking medical prerequisite classes and pursuing her
interest in women's health care.
Autumn Blais is from New Hampshire but is currently
living in New Lebanon, New York. Autumn has volunteered in
U numerous capacities, including with urban restoration in Boston,
a food bank and Planned Parenthood. Autumn has also completed
,, the Massachusetts Midwifery Alliance midwifery course. Like
Amy, Autumn was able to spend time with Betsy and in the CNEP
classes. She also shadowed nutritionists at Mary Breckinridge
Hospital, Leslie County Public Health Depanment and Appala-
chian Regional Hospital in Hazard. Autumn has retumed to New
York to continue her interest in women's health care and farming.

 l
I
10 FRONTIER NURSING SERVICE  
Current Couriers
The new spring arrivals have tumed the upstairs of the
Garden House into a craft workshop with quilt making, scarf
knitting and plans for woodworking. They have also spent their
days in many facets ofthe community with energy to spare! Let me ,
introduce you:  
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Heather Randall and Katy Kropf
HeatherRandall is from New J ersey,though she has lived
in Washington, DC and Florida. Heather has a strong interest in A
education and has jumped right into the community through her
work with the Leslie County Middle School, Child Health Educa-
tor Jody Baker and the Adult Leaming Center. She is also assisting
our friends Cinda Morgan and Edith Wooton. Heather is currently v
pursuing a liberal arts degree through the Adult Degree Program
at VermontCollege. Because the program operates largely through
correspondence, she is able to pursue volunteer opportunities •
while in school. After leaving Wendover, Heather plans to spend
the summer in Death Valley, California where she has been
accepted as a Living History Tour Guide through the Student
Conservation Association.

 QUARTERLY BULLETIN l l
. 1 » ~   ‘ are t     · t;T  
pf" T i   it? T ~ _ ~ , `~.    
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I f- ··  i'    f i It I · i i I I  
 .' . .. , " _ '\
·  I   , l- ..      
Beth Muzzy delivering paper t0 recyling center
I Katy Kr0pj$ is from Ohio and graduated from Grinnell
I College in Iowa. Katy has volunteered in oncology at a children's
. hospital, with Habitat for Humanity, and with domestic violence
and homeless issues. She has also traveled in Kenya and recently
retumed from Guatemala! Katy will be applying to medical school
and during her stay here she hopes to strengten her skills and
understanding of practicing medicine in rural, low income com-
‘ munities. She has become involved in Stinnett Elementary School,
. HIV Aids education and Area Health Education Center.
Beth Muzzy comes to us from Massachusetts. Beth, who
~ has a strong interest in women's health care, is actively pursuing
an interest in midwifery through reading and attending confer-
ences. She is also a Massachusetts EMT. Since arriving at
` Wendover, Beth has been working with Betsy, with whom she has
attended numerous births, as well as training to be an advocate for
p the Rape Crisis Center and an educator for AVOL — Appalachia
_ (AIDS Volunteers in Appalachia).

 12 FRONTIER NURSING SERVICE
 / l ..
 I T I { * _ .,___ _ i
`E"  rr il" it t l
Margaret Sawyer working 0n a wooden stool
Margaret Sawyer is a native of Shaker Heights, Ohio but
is currently attending Yale University in New Haven, Connecti-
cut. At school, Margaret is very active in community service and
urban policy, including tutoring elementary children and working
with Yale Hunger and Homelessness Action Project. Margaret is
interested in pursuing a career as a doctor and hopes to gain better
insight into the field during her time with FNS. She would like to
work with a wide spectrum of healthcare professionals including
doctors, nurse-practitioners, home health nurses and midwives. g
Margaret also plans to volunteer as a teacher's assistant for the
fourth grade at Stinnett Elementary School.
Former Couriers ,
Bronwen Berlekamp ('96) is home in California, surviv-
ing the flood. Bronwen kept smiles on everyone's faces at
Wendover's with her sweet notes. She sent us a picture of her not- ·
so-successful circle pie and a copy of the recipe. One look at the
recipe explained the problem; in Cassie's rush to write down the
recipe before Bronwen left town she left out milk! Bronwen is
currently taking prerequisite classes in the evenings for nursing
and has applied to be an elementary school teacher's assistant.

 QUARTERLY BULLETIN 13
I Tolly Johnson ('96) is living in Hopkinsville, Kentucky
  where she has taken a job as a Mental Health Technician at a
l psychiatric hospital. Tolly does group therapy sessions with
  patients.
. Sarah Kennedy ('96) retumed to New York City but is
planning to move to San Francisco in May. She hopes to enter the
nurse-midwifery program at UCSF. Sarah writes "I miss everyone
‘ there a lot- having breakfast with Marylin and afternoon coffee
{ with Cassie . . . I can still hear Jana (PA) dictating in my head
l sometimes. It‘s a very special place . . ." Couldn't agree more! We
have not heard from Eric Wiesner since he retumed home, also to
l New York City, but Sarah writes that he is working as a chef.
Kate Layman ('95) is in Florida hard at work on her
l nursing prerequisites. She writes, ". . . CNEP has been popping up
a lot lately. The more I look back, the more valuable my experi-
ences there seems." Kate is beginning work as a birthing coach.
Sarah Bacon ('93) is in Washington, DC studying art
history with a little bit of evolutionary biology,modem English
literature, old testament and legal studies mixed in . . . wow! She
is planning to spend a semester in Paris studying at a french
university and living with a french family with the goal to be
"proficient so I can talk about art in the most romantic language of
all."
Cornelia Hamilton ('67) writes that she spent five days in
Bermuda, "a lovely island with all the formality of England." Dr.
Hamilton works as a pathologist at Saint Francis Hospital in
Connecticut.
Patience White (‘67) sent us a wonderful note of a family
,— vacation spent traveling in the west and ending with a white water
rafting trip down the Colorado through the Grand Canyon. Dr.
White was named Associate Dean for Faculty Affairs at the
' George Washington University Schools of Medicine and Public
I Health. She will continue seeing patients and doing clinical
research as Chair of Pediatric Rheumatology and the Adolescent
Employment Readiness Center at Children's National Medical
i Center.

 14 FRONTIER NURSING SERVICE p
_" _" _ _ _ “ t
Mardi Perry, ('38) and her husband Arthur, served as  
wonderful hosts to me while in the Boston area. Mrs. Perry (Mardi  
Bemis) reminisced fondly about Mary Breckinridge, FNS nurses {
and her time at Wendover. Mrs. Perry remains active in the E
Frontier Nursing Service through the Boston Committee. I thor- .
oughly enjoyed my visit (and the Perry's fresh maple syrup from V
their farm). Thank you Mardi! I
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 QUARTERLY BULLETIN l5
, Notes from FSMFN/CNEP
I In the last FSMFN/CNEP   ~:""¥#g gp
‘ Notes, Susan Stone our Acting     K, . >‘
. Program Director described the af`; g_g    
A reorganization of the School's ad- g   _ I A A  Ja,  
ministrative team. Since that time  A       
’ the three new Regional Directors,   ieeg   J.   It   
. Marcia Hanks (Idaho), Mickey       g ·`j j'
I Gillmor (Georgia) and Paula   ‘i‘)  . J is; ’  l e   J A
I Rose (Connecticut) were oriented   i  ~      if
i to their new positions and our Lexington office during the first
l week of January. Marcia is a CNEP graduate from class one and
  has been a preceptor and Regional Clinical Coordinator for many
  years. Both Mickey Gillmor and Paula Rose have been Regional
l Clinical Coordinators prior to taking on their new director roles.
‘ During the January meeting all administrative and re-
I gional directors worked tirelessly to become oriented to their new
[ roles and to build a "team". Under the direction of Jackie Morrill,
{ Director of Student Affairs, the meeting was well-organized with
I much accomplished. Both Penny Armstrong, CNM, MSN and
Winnie Thompson, CNM, MSN, assisted as past Clinical Direc-
tors in the orientation to the clinical piece of these new positions.
Steven Poekert, our BBS Systems Operator, was on hand
to assist with readying the laptop computers and their data bases
so the necessary communication links would all be in place before
the week—long meeting ended. Deanna Severance, President of the
g Frontier School of Midwifery and Family Nursing, was also
ri present to lend support and encouragement as the teamwork
commenced. Although much work was accomplished, the new
office was also filled with laughter and the quiet conversation of
' dedicated midwives at work.
One of the goals coming out of many previous planning
, committee meetings is to consider moving our curriculum to a
computer-based training format. Susan Stone and I traveled to the
  Teletraining Institute in Oklahoma for a workshop this past month.
There we met with a great many people from all over the world

 16 FRONTIER NURSING SERVICE
who are teaching at-a-distance from postal workers and army
personnel to faculty from other schools. It was nice to talk with
people who have either already done this or who are planning it and
compare notes. We also have been speaking with a company based
in Lexington, Kentucky who will lend technical support and
training centrally. The first week in March, a group of faculty will
be attending a multimedia conference to leam yet more about the
many changes occurring in this technology as it relates to educa- .
tion.
Two new course faculty have been added to the CNEP.
Lisa Kane Low, CNM, MSN, is from Michigan and is now Course
Coordinator of our Intrapartum course. Lisa has been a midwife
for over ten years, is a very active member of the American College
of Nurse Midwives and currently is a doctoral student in the Ph.D
program at the University of Michigan. Lisa`s love of teaching and
midwifery is evident as she has quickly and easily oriented to her
new role with the CNEP. She also had the opportunity to visit
Wendover for the first time at our fall faculty meeting and, like
most midwives, left Kentucky feeling inspired.
J oani Slager, CNM, MSN, who has been a preceptor of the
CNEP for over five years and is a Service Director in Kalamazoo,
Michigan is now faculty in the Intrapartum course. J oani gradu-
ated in the second CNEP class and has stayed very involved and
committed both to midwifery and the women and children she
cares for. She is also involved in educating students and is active
at the national level. Joani now is director of one of the largest
midwifery services in Michigan and the service itself is staffed
primarily by CNEP graduates! Refer to the "CNEP in Michigan"
article for more.
In March we look forward to welcoming Class 19 at
Midwifery Bound. This class numbers 36 and are from all over the
United States. This group is already active and "talking" a great r
deal in the midwifery forum on the Banyan Tree BBS.
So, not even two months into the year and we have become
a very tight team, traveled much, learned even more and
enthusiactically look forward to welcoming our newest class of
midwifery students! -Kerri Schuilling, Education Director

 QUARTERLY BULLETIN 17
CNEP in Michigan
J oan (J oani) Slager, CNEP graduate, was working at the
Battle Creek Family Health Service in Battle Creek, Michigan,
when Administrators from The Bronson Women's Service in
Kalamazoo, Michigan asked her to assist in establishing a Women's
Service staffed with nurse—midwives. The Service had been closed
· due to physicians resigning. The Service was formerly an OB!
GYN clinic for indigent patients staffed by physicians. Ms. Slager,
along with CNEP students Ruth Hope, Diana Tyler and Patti Zull,
began work at the Bronson Women's Service.
The Service has now grown to employ nine nurse—mid-
wives: Charlene Holland, from Califomia, is the only non-CNEP
recruit; Susan Imase, CNEP Preceptor, New Mexico, has been at
the Clinic for two years; Gail Lennan, Kalamozoo, Michigan, is
the newest midwife and a new CNEP graduate; Mary Alice
Martin, Ohio, is one of CNEP's first preceptors; Barbara Rudell,
Kalamazoo, Michigan, is a CNEP graduate; Diana Tyler, is from
 
    gr"? ‘  .
  > ` j. T v. ‘.' I 4
     
Back Row: Penny Waltman, Gail Lennan, Susan Imanse and
Barbara Rudell. Front Row: Diana Tyler, Mary Alice Martin,
Charlene Howland, Joanie Slager and Patti Zull

 18 FRONTIER NURSING SERVICE
Leonida, Michigan, and is a CNEP graduate; Penny Waltman,
Rockford, Michigan, is a CNEP graduate and a CNEP faculty
member and Patti Zull, Battle Creek, Michigan, is a CNEP
graduate.
The staff at Bronson Women's Service sees an average of
1,500 patients per month and delivers an average of 50 babies per
month. Ms. Slager, CNEP Class II graduate of 1991, became the
Director of the