xt72fq9q3c3c https://exploreuk.uky.edu/dips/xt72fq9q3c3c/data/mets.xml The Frontier Nursing Service, Inc. 1954 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 The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 30, No. 1, Summer 1954 text The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 30, No. 1, Summer 1954 1954 2014 true xt72fq9q3c3c section xt72fq9q3c3c The Quarterly Bulleim
of the
Fr0nI1e1· Nursmg SGIVICG
TWENTY-NINTH ANNUAL REPORT
  VOLUME 30 SUMMER, 1954 NUMBER 1
I
  · - V,.1/;   ,$V,      Y    
  I -   ·   . jp , -·~5_A     
        I `     I I   ~.·1 I-      I
  ·   _ _ , _ I   ..... » MN  A .. _` .,
  -   I   ;1‘ 1  - I     ., I- » -   I   · . `~»_ ·
I V           V_·._ 5         ' ;   `§§ {Q   _   Nik w - w ·· ._
    -V¢R   l  r  'gg I   y  {y i  -     . A  
`     ,f~· ‘  ,               ” »       ]
I   Q.,       $@1    I $3*    &'%%*$o °-‘ ,% -   `    #1 -¤ I I
 -5  4=_( Q     Lg. ` I LQ    TLV      Q}? I _
     V  .I-.g L       gg- - I   _ *;;‘-P" ? §'§: I     {  ‘7
I ZL:       Q-       / *Z  · “;·—_5,  °  I; i f`; E     4,5 · —. _-Z   Fi     ~
" Y¢         »_R;  `  5 `   *   " " `   F`?.  it?    ·   ‘*   5 : éif" {   · ·
        ,#,.‘     I ‘ "         ‘       ` - I
 Li       1; -- ji ~·~\   »~ 2  sty    ·_"2    jg A I      f ·   ‘  
:_r·,—V-if       i- _> ~ ·- X  Qi     ih-:   s :1 i   "  .ij`
. ¤  -   as   —z   I  .·· - » »‘»¤    -     _ . I , Y -1
·  4i‘·.“;<;}‘ "   -i fe)   ;·  nr   :-—--  §··o?*>#Z-<2;  -- I   I -€ >
    R: - jfs; ·.;S i I-·~` ·`#     * an- I . ’ 1 ~" '  
`ygw " A Q T I 5 -‘ ` LI? We   ‘¤*gz"§"" _  -. A  —’ ,‘*_- ,·r ‘ · ;-I ·,{ - z - 2.
· if - J _r__,,,, · ·  gg-E  {  " ~; ‘ { `      . ¤ ·;-ZH -   L4', §
I   w ga- —   =:-·;r>s·‘      -¢-   I .   » A ##1 · I
, I .f_,_4,..••r"' g sgi;    aj yp:-I —;,, :;.5  .   _—~a ___  __  .! _ EZ I _ . -·;·. 5; i-- 
_ _ _ ~.;, _ -__ :. ¤· -,5:;*-. * _ Q_ .§__a._ _ -,2 ; L . »_f ;.,..  __ _;
   — ·‘ I , P   ’   ·`7*?T???°; -4o ,* "? •   ff  
  A. , ‘;`. ,   Y `1'W L > A-I `;a*°   ` rf": ’_  · >   » ~
F  I     - > H   , __  - -::£"-i-‘1¤;    .- ·' ·-_   _4   ;\ A
·»` ~ -   $5* -_   Wn " r _ *2-* *** _-  
.- I       ’’e‘ ‘ ~;·--   I I I 
I ‘ i-{I. ’ H " gg -».‘ ` T  '``·  {IZ}? f·· I   ‘ N I
I   “ . -   ‘»=* 1    ‘ —* _.___;_-   N -   e
`U i, · Q. __;  '».»   -·-» -   » Z U >~»V Y     ··‘* ..._   J N" ;
. · » ” ` »_  , " ·  fn-   " r.q_
I R _ I I .. 41__ » Ww U   ___. on 
HELL-FOR-CERTAIN CLINIC
COUl`i91`-JOUFDEI Photo, Thomas V. Miller, Jr.

 I
  U T I·I   I ”EOOOO° I   I"   OI? (Y    ~ L '
li   _V`` I   `-,.    I   ‘ “   g ° I -. _ I I 4
9   _;v¤   2 _T·»f .       . ‘ - OI »*
  .,:°      .. 2.  e   ‘ . ·
A   ;   QN-N   M K I N N O N I
  ».‘A { »· - i P .   · , » AC ” t
  ;‘      I   ‘ f ‘ =~ . · ‘
    (‘é‘ ‘   , ,       I
    ‘‘,‘,   ”   I ` ` · ` O` I ` O C" A ` .
.  I;..=;5,··:  ,·   · T . '
’%?i£=7*“*.¤¤.eT`.,.ef··w*—   ' 4. V . -
.‘       I'!;‘.·'·‘ V >, » > I _l ,1 I
   * ’‘VV ·   L ~ . ·   . ‘ `·.`~·
. ‘;2:J.,-JiiifisM.;-..·.Lc.' fs,. .. . ,   ( . ` ‘ _ { ‘
PLAQUE IN TI—IE MEMORIAL DRUG ROOM °
For a, picture of the Drug Room see inside back cover
Photograph by Earl Palmer ;
THE QUARTERLY BULLETIN of the FRONTIER NURSING SERVICE  
Published Quarterly by the Frontier Nursing Service, Inc., Lexington, Ky. I g
Subscription Price $1.00 Per Year ‘
Edito1·'s Office: Wendover, Kentucky A
VOLUME 30 SUMMER, 1954 NUMBER 1
  1
"Entered as second class matter June 30, 1926, at the Post Ofiice at Lexington, Ky.,  
under Act of March 3, 1879." I
Copyright, 1954, Frontier Nursing Service, Inc.  
I
% I
  `

 1
3
I CONTENTS
t
   
{ ARTICLE AUTHOR PAGE
Q Annual Report 2
Beyond the Mountains 51
% Drug Room at Hyden Hospital
*` (Photograph) Inside Back Cover
I Field Notes (Illustrated) 57
I Mads Memorial Drug Room 23
  My Bad Creek Juniors (Illustrated) Barbara Yelch 31
Old Courier News 25
Old Staff News 37
Operation: Honeysuckle . Walter Mayjield 21
T Re: Hyden Hospital Fire Safety A
Q Requirements 49
1 Six Committee Meetings Mary Breckinridge 53
E The Little Imps Club Dorothée Merchiers 35
4 The Old Bag Rides Again Hope McC'0wn 17
  Drawings by “Connie” Bicknell
  Wendover—Summer-1954 Rebecca Brown 22
  `
i
[ BRIEF Brrs
  Churchilliana 30
  Don’t Be Afraid of Fear 24
{ From a Canadian Nurse 52
I Hints on Etiquette in 1834 Turnstlle Press Limited 30
I J oline Whitehead (Photograph) 50
` Just Jokes 20
. Needed The Reverend W. V. C. Rose 63
  Never Be Ashamed Alexander Pope 56
'F   Our Mail Bag 16
I`} She Was Only Eight Contributed 50
{ Summertime Dallas (Texas) News 48
Thanksgiving Day Reunion 34
Trust Mrs. M. F. Butts 49
`  White Elephant 36
-i
E.

 2 THE QUARTERLY BULLETIN  
i
HIFNER AND POTTER I
CERTIFIED PUBLIC ACCOUNTANTS I
145 EAST HIGH gi.
LEXINGTON, KY.  
To the Oiiicers and Directors,
Frontier Nursing Service, Incorporated
Lexington, Kentucky  
Ladies and Gentlemen:  
We have made a detailed examination of your records and  
accounts for the fiscal year ended April 30, 1954, with the  g
results as disclosed by the annexed Exhibits and supporting  
schedules.  
In our opinion all recorded receipts have been duly ac-  
counted for.   S
During the year you received new endowment and reserve  
funds amounting to $178,45670, and these funds now total in { `
excess of $783,000.00 This is approaching the million dollar  
figure which your Director several years ago expressed a desire Q
G
to attain. It includes, however, the Louie A. Hall Legacy which  
must be invested in a new center.  
Your books have been closed under our direction and are in  
accord with this report.  
Respectfully submitted,   »
HIFNER AND POTTER { ·
Certified Public Accountants. ·
£
Lexington, Kentucky,  
May Twenty,  ,
Nineteen Fifty-four.  

   Faourina Nunsme smavxcn s
2 
1  TWENTY-NINTH ANNUAL REPORT
gs of the
{ FRONTIER NURSING SERVICE, Inc.
for the Fiscal Year
  May 1, 1953 to April 30, 1954
  PREFACE °
  As has been our custom since we were one year old, we pre-
  sent our annual report of the fiscal affairs and of the field of
ii: operations of the Frontier Nursing Service, to its trustees, mem-
  bers, and subscribers.
  We have, as in previous years, divided our report into two
  sections. One section is about money, and one section about
  work.
 2
  1.
    FISCAL REPORT
li ? Our annual audit is so detailed, and therefore so voluminous,
li · , that we do not print it in full. The figures that follow are taken
i , from the Exhibits and Schedules of the last audit. We have
  divided these figures into four categories, each covering one
  ` page, to make easier reading. The auditors’ own Summary is
L the first category. The second is their list of Endowments and
  Reserves. The third category covers all Revenue Receipts. The
{ ‘ fourth category we have put into two columns——to the left the
4 I · expenditures of the last fiscal year taken from the audit, and te
  ‘ the right the Budget accepted by our trustees for the current
` v fiscal year, based on last year’s expenditures.
i Under a fifth category, called Inventory, we account for all
  our properties. All five categories are given in sequence on the
  following pages.

  E
yl
4 THE QUARTERLY BULLETIN  
ANNUAL REPORT FROM THE AUDIT  I
OF THE >
FRONTIER NURSING SERVICE, INCORPORATED  
May 1, 1953 to April 30, 1954  
RECEIPTS (not including new endowments) :
Donations ........................................._. $117,314.97 §
Income from endowments, bene-
{its, fees, et cetera ...................... 94,566.69 .
Total Receipts ...........,....._.................................. $ 211,881.66
EXPENDITURES—for operating expenses includ-  
ing repairs, replacements and upkeep .................. 208,524.88  
Excess of Receipts over Expenditures ........................ $ 3,356.78  
New Endowment and Reserve received ...................... $ 178,456.70  
New Land, Buildings, Livestock and  
Equipment .......................................... $ 10,514.57 _·;
Less—Charge—offs for deaths of ani-  
mals, depreciation, et cetera .......... 8,574.29 ;
Net increase in physical property .............................. $ 1,940.28  
GENERAL DATA AS OF APRIL 30,1954  
Value of Land, Buildings, Livestock, and Equip- l,
ment .......................................................................... $ 359,450.14  
Total Endowment and Reserve (This is the value  
of the gifts at the dates they were received.  
Present values would probably exceed this l;
amount.) .................................................................. $ 783,311.04  
Total Contributions and Income (exclusive of En-  
dowment) from Organization to April 30, 1954--$3,819,514.14 f
Total Expenses (exclusive of Land, Buildings and  
Equipment) from Organization to April 30,
1954 .......................................................................... $3,475,783.67 4
Excess of Total Income over Total Expenses ............ $ 343,730.47 H
This excess is represented by .3, .
Cash, and Cash items ...................... $ 10,741.13  
Land, Buildings, and Equipment .... 359,450.14  
Temporary Loans ............................ 725.00
Total .................................................................... $ 370,916.27  G
Less-Indebtedness ...................................................... $ 27,185.80  
Free Surplus ...................................................... $ 343,730.47  i 
 
 
 

  E
l
  ENDOWMENT
 j The total endowment funds of the Service at the close of the
. fiscal year are taken from Exhibit D of the audit and are as
  follows:
Z Joan Glancy Memorial Baby’s Crib ..................._........., $ 5,000.00
  Mary Ballard Morton Memorial ....,............................._. 85,250.83
  Jessie Preston Draper Memorial No. 1 ......_...._._._.__..___ 15,000.00
tl Jessie Preston Draper Memorial No. 2 ........_.....____,___.. 50,000,00
Belle Barrett Hughitt Memorial ....,............,....,.___..,_,____ 16,000.00
g Isabella George Jeffcott Memorial ..._______________,_____________ 2,500,00
Bettie Starks Rodes Memorial Baby’s Crib ________________ 5,000.00
. John Price Starks Memorial Baby’s Crib ____________________ 5,000.00
Norah Oliver Shoemaker Memorial Baby’s Crib ........ 1,500.00
_, Eliza Thackara Memorial .........................______.____,_________ 1,758.11*
; Children’s Christmas Fund in Memory of Barbara
~L Brown ...................................................,.......»......._.... 1,000.00
{Q Donald R. McLennan Memorial Bed ...................__....... 12,750,00
VJ Louie A. Hall Legacy in Memory of Sophronia
li Brooks for a Center and Its Endowment .........._._. 48,190.14*
  Margaret A. Pettett Legacy ..............................._._._.__.._ 1,953.70
L Hattie M. Strong Memorial .........................__..._.__.._.,,__ 10,000,00
{ Jane Short Atwood Legacy .......................................... 7,500,00
1 Marion E. Taylor Memorial ................................_..._.____ 10,000,00
; Fanny Norris Fund ........................................................ 10,000.00
I Marie L. Willard Legacy ................................................ 3,127 ,36
  William Nelson Fant, Jr., Memorial ..........................._ 78,349.52
  Mrs. Charles H. Moorman Fund .................................... 1,100,00
V Lillian F. Eisaman Legacy ............................................ 5,000,00
, . Lt. John M. Atherton Memorial ......................_._.._.__.._.. 1,000.00
B; Mrs. Morris B. Belknap Fund ...................................... 25,375,00
Q Elisabeth Ireland Fund .................................................. 17,257.50
  Elizabeth Agnes Alexander Legacy ............................ 5,000,00
j, Richard D. McMahon Legacy ........................................ 943.23
l Anonymous General Endowment ................................ 102,400.00
li Mrs. W. Rodes Shackelford in Memory of
  her two children ........................................................ 10,000.00
-, Beulah Bruce Brennan Memorial ................................ 2,000.00
Qi Anna Rosina Gooch Memorial ...................................... 10,000.00
Jeannie B. Trull Legacy ................................................ 32,883.24
~‘ Elizabeth B. Perkins Legacy ........................................ 148,372.41
l Frances Kendall Ross Legacy ........................................ 17,100.00
El Total Endowment ....................................................... $748,311,04
lg RESERVE ACCOUNT:
;~ Mrs. Louise D. Crane ............................ $ 4,000.00
* Mrs. Fredric Mosley Sackett ................ 10,000.00
» Mrs. Eliza A. Browne ............................ 16,000.00
’,_  M. T, M. Hanrahan Fund .................... 5,000.00 35,000,00
  Total .......................................................................... $783,311,04
`  * Income added to principal.
sz
 
 

 REVENUE RECEIPTS  
Statementof Donations and Subscriptions Paid  
May 1, 1953 to April 30, 1954  
Benefits and  ‘
SUMMARY Contributions Bargain Box Totals 1
Alpha Omicron Pi Social Service  .
Fund ...................................... $ 3,794.00 $ 3,794.00 ij
Baltimore Committee .................. 1,117.00 1,117.00 "
Boston Committee ........................ 5,297.50 $ 1,075.00 6,372.50 I
Chicago Committee ...................... 6,692.45 6,692.45 44
Cincinnati Committee .................. 4,377.75 4,377.75  
Cleveland Committee .................... 7,831.53 7,831.53
Daughters of Colonial Wars ........ 1,557.50 1,557.50
Detroit Committee ........................ 8,718.03 8,718.03 Q.
Hartford Committee .................... 1,402.00 1,402.00 iq
Kentuckyzii  
Blue Grass Committee ........ 9,449.45 9,449.45  
Louisville Committee ............ 7,858.08 7,858.08  
Miscellaneous Kentucky ...... 4,261.50 4,261.50 ii
Minneapolis Committee ................ 2,072.50 2,072.50  
New York Committee .................. 16,234.37 6,827.00 23,061.37 I:
Philadelphia Committee .............. 4,633.25 1,173.00 5,806.25  
Pittsburgh Committee .................. 11,551.22 11,551.22 ,
Princeton Committee .................... 1,303.00 1,303.00 -5
Providence Committee .................. 1,373.90 1,373.90  
Riverdale Committee .................... 1,226.00 1,226.00 1
Rochester Committee .................. 2,668.18 2,668.18  
Washington, D. C. Committee .... 7,631.00 7,631.00 ¢
Miscellaneous .............................. 6,264.76 6,264.76 T
Totals .................................... $117,314.97 $ 9,075.00 $126,389.97
* Total for Kentucky $21,569.03. {
OTHER REVENUE RECEIPTS ll
Fees for Frontier Graduate School  
of Midwifery .......................... $ 7,660.00  
Payments from Patients:  
Income from Nursing l`
Centers .......................... $ 9,115.81 ,.
Medical and Surgical Fees. 7,441.81 Q
Hyden Hospital Fees ............ 14,557.77
Hyden Hospital Clinic Q
Supplies ...................... 6,527.93 37,643.32 g
Royalties 5-1-53 through j.
12-30-53 on Book ·’
Wide Neighborhoods ............ 460.38  _
Wendover Post Office .................... 3,226.77 ‘
Investment Income ...................... 36,433.52  
Sales of Books and Post Cards- 67.70 $ 85,491.69 · 
Total All Revenue Receipts. $211,881.66 gl
l
li
l

  N
 
 g, LAST YEAR’S EXPENDITURES AND THIS YEAR’S BUDGET
 S I. FIELD ExPENsE:
· (Hyden Hospital, Frontier Graduate School
  of Midwifery, Wendover, and Six Nursing
  , Centers) 1953-1954 1954-1955
if 1. Salaries and Wages ............................i....,...... $ 65,731.12 $ 66,000.00
I 2. Medical Director and Vacation Relief
(Note 1) ............_...........,..._... . ..._................. 5,651.04 5,500.00
  3. Dispensary Supplies (Note 2) .................... 15,955.78 16,000.00
% 4. Running Costs .( food minus board of resi-
— dents; cows, fuel, electricity, laundry,
_ freight, haulage, et cetera) ....._................ 38,427.94 38,400.00
g 5. Feed and Care of 25 Horses and Mules
  (Note 3) ..........................r........................... 8,671.47 8,600.00
  6. Jeeps (15), Truck, Station Wagon Ambu-
  lance ............................................................ 6,695.93 6,500.00
  Total Field Expense .......................... $141,123.28 $141,000.00
  II. ADMINISTRATIVE EXPENSE;
.< 1. Salaries, accounting, auditing, office sup-
3 plies, postage, printing, telephone, tele-
§,· graph, et cetera _....._......_......_......_....___...,___ $ 24,387.32 $ 24,500.00
  III. SOCIAL SERVICE .................................................... $ 7,614.31 $ 7,600.00
  IV. GENERAL EXPENSE:
  1. Social Security Tax ........................................ $ 1,612.94 $ 1,800.00
y 2. Insurance (Fire-—$288,800.00 coverage,
Employer’s Liability, full coverage on
truck, 15 jeeps, and station wagon) ........ 5,248.80 5,500.00
} 3. Interest ......._..................._.............................. 270.00 270.00
il 4. Quarterly Bulletins (covered by subscrip-
  tions) ...................................................._..... 3,960.76 4,000.00
g 5. Statistics ..........................._..........._._...._......... 2,185.00 2,100.00
§‘ 6. Miscellaneous Projects such as: Doctors
Y and Nurses for study and observation,
, professional books and magazines .......... 497.77 500.00
Y 7. Miscellaneous Promotional Expenses be-
a yond the mountains .................................. 765.19 730.00
A Total General Expense ...................... $ 14,530.46 $ 14,900.00
  V. MAINTENANCE OF PROPERTIES ............................ $ 20,869.51 $ 20,000.00
 I Total Expense ._.................................. $208,524.88 $208,000.00
. Note 1: Approximately 1/4 of his time spent on districts.
,  Note 2: Approximately 1/3 of supplies relayed to districts.
Y  Note 3: Six animals belong to FNS employees, who must ride to work.
l NEW LAND AND BUILDINGS, Moron VEHICLES,
, EQUIPMENT AND LIVESTOCK ................................ $10,514.57
 

 `!
8 THE QUARTERLY BULLETIN  
E
LAND, BUILDINGS, LIVESTOCK AND EQUIPMENT  
(From Exhibit C of the Audit)   E
INVENTORY  
Our auditors set a value of $359,450.14 on these holdings,
after adjustments. Among the major holdings are the following:  
Hyden 1
A stone Hospital, one wing of which is the Mary Ballard  
Morton Memorial, one wing the Mary Parker Gill Memorial, ._
and the frame Annex, a Memorial to "Jackie" Rousmaniere; Joy L,
House, home of the Medical Director, a gift of Mrs. Henry B.  
Joy; Aunt Hattie’s Oak Barn, gift of Mrs. Henry Alvah Strong;  
Mardi Cottage, the Quarters for the Frontier Graduate School gi,
of Midwifery; The Margaret Voorhies Haggin Quarters for  
Nurses; three water tanks; two employees’ cottages; and out-  
buildings such as garages, work shop, pig house, forge, pump  
house, fire hose house, and the Wee Stone House.  
Wendover  
Three log houses, as follows: the Big House ("in memory of  
Breckie and Polly") ; the Old Cabin and the Ruth Draper Cabin;  
the Garden House; the Upper and the Lower Shelf; the Cour- jgj
iers’ Log Barn and Aunt J ane’s Barn; numerous smaller build- i
ings such as the cow barn, horse hospital barn, mule barn, tool  
house, chicken houses, forge, apple house, smoke house, pump {
house, jeep shed, fire hose houses, water tanks, and the Pebble  
Work Shop.  
Georgia Wright Clearing I
A caretaker’s cottage and barns; extensive pasture land ·
for horses and cows; a bull’s barn and stockade; two wells. .
Jessie Preston Draper Memorial Nursing Center n
(Beech Fork; Post Oiiice, Asher, Leslie County) j
Frame building and oak barn; employee’s cottage; deep  
well, pump house and water tank; fenced acreage for pasture  
and gardens.  
ii
Q

 `!
Q
  FR0NT1ER NURSING SERVICE sa
r
  Frances Bolton Nursing Center
it (Possum Bend; Post Office, Confluence, Leslie County)
  Frame building and oak barn; deep well, pump house and
if water tank; fenced acreage for pasture and gardens.
i Clara Ford Nursing Center
· (Red Bird River; Post Ofiice, Peabody, Clay County)
  Log building and oak barn; fire hose house; walled-in
pn spring; deep well, pump house and water tank; fenced acreage
E for pasture and gardens.
i ` Caroline Butler Atwood Memorial Nursing Center
~, (Flat Creek; Post OHice, Creekville, Clay County)
;, Frame building and oak barn; fire hose house; walled-in
  spring; water tank; fenced acreage for pasture and gardens.
  Belle Barrett Hughitt Memorial Nursing Center
;,» (Bullskin Creek; Post Office, Brutus, Clay County)
  Frame building and oak barn; jeep shed; fire hose house;
  walled-in spring; water tank; fenced acreage for pasture and
  gardens.
  Margaret Durbin Harper Memorial Nursing Center
  (Post Omce, Bowlingtown, Perry County)
  Frame building and oak barn; fire hose house; walled-in
  spring; deep well, pump house and water tank; fenced acreage
é for pasture and gardens. C
  Subsidiary Clinics
  Six small clinic buildings on the following streams: Bull
  Creek, Stinnett (Mary B. Willeford Memorial), Grassy Branch,
L; Hell-for-Certain Creek, the Nancy O’Driscoll Memorial on Cut-
  shin Creek, and Sizerock on Upper Bullskin.
  Livestock
€ Nineteen horses; one mule; one registered Brown Swiss
Bull; eleven cows; two heifers; one calf; registered Hampshire
. brood sow, and four piglets; over two hundred chickens.
· Equipment
L _ Equipment includes: fifteen jeeps; one Ford station wagon-
ambulance; one three-quarter ton truck; tanks; engines; pumps;
'; farm implements; plumbers’ tools; sixty-two pairs of saddle-
  bags; saddles; bridles; halters; hospital and dispensary supplies
  and hospital and household furnishings in twenty-seven dwell-
  ings variously located in a seven-hundred-square-mile area.
i
w

 10 THE QUARTERLY Bonnmiu p
II.  
REPORT OF OPERATIONS . 
The data in this section are supplied by the statistical depart- 4 `
ment of the Frontier Nursing Service; by records kept in this
department on guests and volunteer workers; and by the social tv
service secretary maintained by the Alpha Omicron Pi Fund. . 
1. ¢ 
MEDICAL AND SURGICAL if 
In the early weeks of this past fiscal year, Dr. F. William · 
den Dulk gave up the post of Medical Director to the Frontier __
Nursing Service which he had carried brilliantly for two years.  
He, Mrs. den Dulk and the children went out to Seattle where A 
he is engaged in private practice. C 
Through the never-flagging interest of our friends at the  ;
Universary of Rochester, New York, we were so fortunate as to  
secure Dr. Frances L. Zoeckler for the post of Medical Director.  
In October and in April Dr. Francis Massie, with his iine  
staff, came up from Lexington for the general surgical clinics he  
has donated to us for many years. _ .
Our gratitude is extended anew each year toward the phy-  
sicians and surgeons in Hazard, Louisville and Lexington who  
have given courtesy care to patients and members of our staff
sent to them; to Dr. Harold G. Reineke of Cincinnati for reading, .
without charge, the X-ray pictures mailed to him by our Medical »
Director; to the Children’s Hospital in Cincinnati and the Chil-  
dren’s Hospital in Louisville which have continued to give free *
care to the children we have taken to them; to the Kentucky .
Crippled Children’s Commission, which has taken care of all the ,
children we referred to them; to the Kentucky State Board of  
Health for the kindness and cooperation of its Commissioner l
and the Directors of its Divisions, particularly that of Maternal _
and Child Health. L · `
. . I 2· 4
I HYDEN HOSPITAL -  
Hyden Hospital-—with 25 beds and 12 bassinets—was oc- g
cupied 6,016 days last year by 1,052 patients with a daily average 1 ,

   FRONTIER NURSING smnvicm 11
i  of 16.5 patients at a cost per patient day of $10.67. Of the 1,052
  patients cared for at the Hospital during the fiscal year, 190 were
{ sick adults, 453 were obstetrical patients, 141 were children, and
` 268 were newborn. There were 6 deaths in the Hospital, of which
6 were newborn. There were no maternal deaths. There were
111 operations performed. At the Medical Directors’ clinics in
il  the outpatient department of the Hospital, there was a total of
 , 8,387 visits received during the past fiscal year.
A 3.
_  DISTRICT NURSING
_` In the 12 districts operated by the Service from the Hospital,
3  Wendover, and six outpost centers, we attended 10,194 people in
2  2,267 families. Of these, 5,012 were children, including 2,478
Q babies and toddlers. The district nurses paid 22,895 visits and
fi received 20,462 visits at their nursing centers and at their special
  clinics. Bedside nursing care was given in their homes to 696
  sick people of whom 8 died. At the request of the State Board
Q, of Health, the Frontier Nursing Service gave 4,405 inoculations
ll and vaccines against typhoid, diphtheria, smallpox, whooping
3) cough, et cetera, and sent 2,023 specimens for analysis.
  This part of our report has reference to general district
  nursing only and does not include midwifery carried day and
  night by the nurse-midwives along with their district nursing.
· The figures for midwifery are covered under the following
i section.
  4.
Q MIDWIFERY
€ Registered Cases
V The nurse-midwives and the midwifery students of the Fron-
tier Graduate School of Midwifery (under supervision of their
` instructors) attended 450 women in childbirth and gave them
° full prenatal and postpartum care. Of these 450 women, 15 were
in delivered by our Medical Director and our consultants. There
  were 441 live births and 8 stillbirths; 3 deliveries of twins; 388
` il new cases admitted; 450 closed after postpartum care; 4 mis-
ii carriages. There were no maternal deaths.

  l
12 THE QUARTERLY BULLETIN  
Emergency Cases—Unregiste1·ed  
In addition to these regular registered maternity cases, the  
Medical Director and the nurse-midwives were called in for 49  
emergency deliveries, where the mother had not been registered  
or given prenatal care, which resulted in 18 live births (includ- $
ing 1 delivery of twins), 1 stillbirth, and 31 emergency mis- ’
carriages (14 early, 16 late, and 1 missed). Postpartum care  
was given to 11 other unregistered mothers. There was no ·  
maternal death.  
Outside-Area Cases  
There were 191 women from outside our area who were  
carried for prenatal care. Of these, 29 were closed before  
delivery. Most of our outside-area patients move into one of our  
districts or our Hospital for delivery. In that case they are trans-  
ferred to our regular midwifery service. However, the nurse-  
midwives did go outside our area to deliver 18 such patients of  
18 live babies, in their homes, with no maternal deaths. 1}
5. p
FRONTIER GRADUATE SCHOOL OF MIDWIFERY 2
The Frontier Graduate School of Midwifery has two classes  
annually, each of six months’ duration, which start on October
15th and April 15th. During the past year 12 registered nurses _
were graduated from the School. The twenty-eighth class since ”,
the School opened in 1939 is now in attendance. When its work  
is completed on October 15th, the School will have sent 140 ’
nurses, qualified as midwives and in our frontier technique, to 4
render service all over the world. Graduates of the School are in g
a number of our states, and Alaska, the Philippines, Japan, (
India, Thailand, Southern Korea, Canada, France, the Middle H
East, and in parts of Africa and South America.
6. `
GUESTS
The Frontier Nursing Service entertained at Wendover 124 V ,
overnight guests who stayed 316 days. In addition Wendover »’
entertained for meals 181 guests for 375 meals. Included among  ii
these guests are both outside and mountain friends.  
 E
E
 
{

  1 Fnowrinn Nunsmc smnvxoii is
  The Service entertained at the Hyden Hospital overnight
  guests for a total of 124 days, and day guests for 277 meals.
  Guests of the Service during the past year have included
  not only Americans, but persons from the following lands: Eng-
l land, India, Thailand, Denmark, France, Philippines, Lebanon,
I Ceylon, Formosa, Belgian Congo, Canada, Belgium, Costa Rica.
 E 7
  ·
  VOLUNTEER WORKERS
  Twenty—one couriers and eleven other volunteers worked
  for the Service a total of 1,395 days. During the time the volun-
  teers were with the Service, they lived at Wendover, Hyden and
  the outpost Centers.
 i
  8.
 lg SOCIAL SERVICE DEPARTMENT
  (Alpha Omicron Pi Fund and Other Grants)
 ‘ During the past fiscal year the Social Service Department of
  the Frontier Nursing Service has given financial aid to 126
5; families or individuals as follows:
  Provided monthly allowance to one person.
 _ Provided monthly pension to one person.
 _ Administered an Idiot’s Claim for two persons.
 Ll Gave grocery orders to 27 families—a total of 79 orders.
  Provided Starlac for two families.
  Provided sweet potato slips for one family.
 It X Provided seed potatoes and garden seed for 25 families.
 l Aided 10 burned-out families.
s Purchased cow feed and fertilizer for two families.
  Purchased 4 bus tickets to Lexington for patients.
A Purchased 2 bus tickets to Hazard for patients.
_ V Purchased shoes and clothing for 7 families.
Paid school bills for 6 children.
p_ Made loans to 3 patients.
’ , Purchased glasses for 23 people. (New Eyes for the Needy
. Fund)
1 Paid dental bills for 3 people.
  Purchased coal for two families.
 l
§
_l

  l
2 
2  1
14 THE QUARTERLY BULLETIN  j
Paid ambulance fee for 4 patients.  
Paid Lexington hospital bills for 9 patients.  
Paid Hazard hospital bills for one patient.  ri
Paid Hyden Hospital bills for 5 patients. i i
Many patients have been transported to and from the Fron-  
tier Nursing Service Hospital and outpost centers. In addition  
there were: `Q 
17 trips to Hazard with 42 patients-54 children and adults  ig
for eye examinations, 2 patients to the dentist, one  
patient to Hazard hospital and one patient to Hazard pn 
ciimc.  
1 trip to a Kentucky Crippled Children clinic in Man-  
chester with 14 patients.  
15 trips to Lexington with 17 patients-4 patients to Lex-  
ington hospitals, 2 patients to Lexington clinics, 11  
patients to the Kentucky Crippled Children Commis-  
sion.  ff
9 trips to Cincinnati Children’s Hospital with 5 patients.  .-
2 trips to Danville with 2 patients to mental hygiene clinic.  Q
1 trip to Mayo State Vocational School with prospective  V
student.  ii
1 trip to Harlan with 3 patients for eye examinations.  .`,
General services and aid have been given other families and  
individuals such as:  9.
Distributed hundreds of articles of clothing, shoes, books,  L
_ etc., to needy families and local schools.  I
Supervised 2 college students doing field work in the Social  Q
Service Department.  Q
Aided the Christmas Secretary in distributing clothing and  
toys, and in arranging Christmas parties.  I
Services and time given in a number of other cases of a 3
miscellaneous nature, and in cooperation with the
County Welfare and Health Departments, the local Red  .
Cross Chapters, the county judges, the county child  V
welfare and vocational representatives, and the Fron- i
tier Nursing Service medical director, district nurses,
and hospital staff.  Ig
l

  l
:· 
 1
  Fnoivrima iwnsiuc. SERVICE 15
  9.
ii . CHRISTMAS
 be The Frontier Nursing Service gave toys and candy to more
iz than 5,000 children at Christmas, and clothing to those that
  needed it. The Service also held Christmas parties at many
 I different places for these children, with Santa Claus, Christmas
Z  trees, and Christmas carols. All of this was made possible by _
 if the generous response of hundreds of people to our annual
  request card for the children’s Christmas.
  TWENTY-NINE YEAR TOTAL
 Q It will be of interest to our members to read a few totals
  covering the whole twenty-nine-year period of work.
ri Patients registered from the beginning .................................... 43,267
  Babies and toddlers ...,................................................ 17,009
  School children ......,..................................................... 8,202
 I Total Children .............................................................. 25,211
 —‘ Adults .......................,...._...................................,......... 18,056
j Midwifery cases (reg.) delivered ......................................,.,l...... 9,926
 Q; (Maternal deaths, 11)
_ Inoculations ....................................,................................................. 188,590
 i Patients admitted into the Hyden Hospital* ............,............... 14,882
_ Number of days of occupation in Hyden Hospital* ................ 130,656
 jr * For 24 years and 6 months. The FNS Hospital at Hyden was opened in the fiscal
  year 1928-1929 and operated only six months in that year.
  CONCLUSION
  Thirty years ago—on May