xt7k9882kz70 https://exploreuk.uky.edu/dips/xt7k9882kz70/data/mets.xml The Frontier Nursing Service, Inc. 2009 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. 3, December 2009 text Frontier Nursing Service, Vol. 84, No. 3, December 2009 2009 2014 true xt7k9882kz70 section xt7k9882kz70 1
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1

 F RONTIER NURSING SERVICE
US ISSN 0016-2116
TABLE OF CONTENTS
Introduction to FNS 1
The Joumey — Nathan Lee 2
Field Notes - Barb Gibson 5
Beyond the Mountains - Barb Gibson 12
Frontier School of Midwifery & Family Nursing 14
—Kath1jyn Sc/irag, MSN CNM FNP
Former Staff& Courier News 17
Footprints - Excerpts from Wide Neighborhoods 18
In Memoriam & In Honor Of 20
Urgent Needs 28
Cover Photo - An FNS Nurse and her Friend (unindentiiied).
Frontier Nursing Service Quarterly Bulletin is published at the end of
each quarter. Subscription Price $5.00 a year for Donors/$15.00 for In-
stitutions. Periodicals postage paid at Wendover, Kentucky 41775 and
at additional mailing offices. POSTMASTER: Send address changes
to FNS, Inc. 132 FNS Drive, Wendover, Kentucky. Copyright FNS/Inc.
All Rights Reserved. The Frontier Nursing Service does not share
its donor mailing list.

 QUARTERLY BULLETIN
Introduction to Frontier Nursing Service (FNS)
Mary Breckinridge spent her early years in many parts of the
world - Russia, France, Switzerland and the British Isles. After
the deaths of her two children, she abandoned the homebound life
expected of women of her class to devote herself to the service
of others, particularly mothers and children.
Mrs. Breckinridge established the FNS in Leslie County, Ken-
tucky, in 1925, as a private charitable organization sewing an
area of 700 square miles. It was the first organization in America
to use nurses trained as midwives under the direction of a single
medical doctor/obstetrician, based at their small hospital in Hyden.
Originally the staff was composed of nurse-midwives trained in
England. They traveled on horseback and on foot to provide qual-
ity prenatal and childbirth care in the client’s own home.
Today, Mrs. Breckinridge’s legacy extends far beyond Eastern
Kentucky. FNS, Inc. is the parent holding company for Mary
Breckinridge Healthcare, Inc., Frontier Nursing Healthcare, Inc.,
which includes five rural healthcare clinics; Mary Breckinridge
Home Health Agency and the Frontier School of Midwifery and
Family Nursing which offers a Master of Science in Nursing de-
gree with tracks as a Nurse—Midwife, Family Nurse Practitioner,
Wo1nen’s Healthcare Nurse Practitioner and a Doctor of Nursing
Practice (DNP) degree.
Mary Breckinridge’s home, The Big House, located at Wendo-
ver, is a licensed Bed & Breakfast Inn. For more information or
i reservations, call 606-672-2317 or e—mail: infom1ation@frontier-
nursing.org. You can also access our website:
Frontier Nursing Service - www.frontiemursing.org
1

 FRONTIER NURSING SERVICE  
The Journey y
by Nathan Lee, President & CEO I
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Recently, I was making the trip from Mary Breckinridge Hospital  
back toward Wendover. Instead of driving out the front entrance,  
I impulsively took a left onto Maple Street, toward the Hyden  
City Park. With Spring warmth in the air, I had my windows I
rolled down, and as I approached the Park, I heard the magical  
sound of children laughing as they played on the new playground I
equipment. Toward the other end of the Park, I heard older I
children playing basketball on the City Court. The kids on the  
playground, I could identify with. The basketball players, I could I
not.  
You see, I have never been what anyone would describe as I
"athletic". Growing up, I tried all manner of sport, but none l—
ever “stuck". My father, who is an athlete and an even more I
gifted sportsman, made regular efforts to convert me, but to no I
avail. We’ve both since long moved past those awkward (and in Y
retrospect, somewhat funny) days. But some of the lessons I did I
 
 
2 I

 QUARTERLY BULLETIN
come away with continue to be important. One in particular has
stayed with me: keep your eye on the ball. My father taught me
that nothing was more important than knowing where the ball was
at any point in time. My form could be "ugly", but it mattered
’ less than good effort. Statistics were important, but less so than
good sportsmanship. And nothing was more important to winning
_ than keeping an eye on the ball. As long as that happened, the
rest would ultimately take care of itself
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Leslie Couniy Children Playing - Early Years
Now days, it seems healthcare sometimes feels like a basketball
game of my youth. We toss around phrases like "pay for
performance" and "pricing transparency? Like fouls, we strive to
. maintain low measures in some statistics. Like points, we strive
to maintain higher measures in others. And all are important.
But none are more important than keeping our focus on the ball;
~ or in the case of the FNS, on the patients we serve in our own
underserved area. Without focus on our patients, our statistics
would be meaningless. Without focus on the community we serve,
there would be no performance for which to be paid. Without
focus on those who need us most, we would miss the opportunity
3

 FRONTIER NURSING SERVICE
to continue carrying out Mrs. Breckinridge’s vision of caring for
the mothers, children, and families of Leslie County and other
underserved areas. To the F NS, no focus can be more important.
I’m reminded of a story I heard recently on a subject to which I
can relate: art. f`
After the early death of his beloved wife, a wealthy widower g
devoted all his time to his two remaining passions: his son, and
his love of art. In the years after her death, he collected numerous
pieces and shared with his son the history behind each. It was after
his son’s untimely death that the grieving man began to devote
his entire being to his art collection. When he himself died, his
collection rivaled any in the world; Masters such as Van Gogh,
Degas, Monet, and Renoir were just a few among the impressive
collection. With no heirs, the man provided detailed instructions
in his will on how his art was to be auctioned. World reknowned
art experts gathered from far and wide for the opportunity to bid
on such an esteemed collection, and each tried to "outs1nart: the
next with his extensive knowledge of the catalog and the works
that underpinned it. As the auction commenced, the Executor of
the estate presented the first piece to be sold. It was a portrait
of the man’s own beloved son. The artist was unknown, and
the depth of color was lacking, particularly in comparison to
the other pieces that would come shortly. The brush strokes
were thick, and the subject matter failed to inspire the interest of
almost anyone in the crowd. Ultimately, the painting sold to one
of the 1nan’s housekeepers who had helped raise the boy. She
paid ten dollars. As the gavel fell, the Executor came back to the
podium to continue the auction. He began to read again from -
the man’s will. "Whoever shall purchase the portrait of my son
shall therefore have my entire art collection, for they will know
what is tmly important." r
May we all keep our eye on . . . our focus on . . . what is truly
important. And may we all be so richly rewarded. The Joumey .
continues . . .
4

 QUARTERLY BULLETIN
 
Field Notes
MRSA Collaborative Agreement
Methicillin Resistant Staphylococcus Aureus (MRSA) is a type
i` of bacteria which is resistant to antibiotics such as Methicillin.
Staph infections usually occur in nursing homes, hospitals and
, dialysis units. Recently, infections have taken place in otherwise
healthy adults and have been identified as Community Acquired,
CA-MRSA.
The Kentucky Hospital Association, in partnership with the
University of Louisville School ofPublic Health and Healthcare
Excel of Kentucky, has launched a MRSA Collaborative with
the goals of increasing awareness, identification, treatment, and
containment of MRSA.
Mary Breckinridge Hospital will take a proactive approach to the
surveillance, identification, treatments and prevention of MRSA
and CA-MRSA.
Clinical Bound Students Start F und for New Building
All students attending the Frontier School of Midwifery & Family
Nursing (FSMFN) come to campus for Clinical Bound, an eight
day intensive period prior to starting their clinical experience.
They spend time learning and practicing clinical skills and also
bond as a group.
- These student groups often like to make a donation to improve
the School prior to leaving. ·
i The Clinical Bound students of February 2009 are excited about
the plans to renovate the FSMFN historic buildings and to build
a new multi purpose building. They are proud to donate $315.00
. for the new building fund.
5

 I
FRONTIER NURSING SERVICE ‘  
The students’ hope is that future student groups will also donate  
to the building and expansion of the School. The students who
donated include: Amy Bandt, James Burke, Tracey Curlee, Carol
J essee, Renee Kania, Tami Millard, Lori Meinking, Martha Parker, ‘
Tracie Price, Stephanie Purinton, Beverly Richardson, Merissa  
Royster, Kirsten Rowe, Suzann Smith, Tracy Stratton, J utta Walker y
and Marina Zalivchii. _
This fund is greatly appreciated as we launch our campaign to  
raise funds for the renovations and the new building. Thanks to  
this Clinical Bound group for helping to preserve our past and  
build our future.  
 
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6  

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**9:*9:***9:7%**1:9:**9:9:9:%*9:*7%*:*:*}:*****7%*9:****9:
Wendover Update
From December l, 2008 - March l, 2009, Wendover hosted a
* total of 789 guests. This number includes overnight guests, tours,
special lunches/dinners/meetings and other activities.
i Special guests included a group of students and faculty from the
Appalachian Ministries Educational Resource Center (AMERC)
in Berea, Kentucky. This group visits Wendover and Leslie County
each year. The focus of their visit to Leslie County was health and
ethics of healthcare delivery and availability.
Michael Claussen, Guest Relations Coordinator, was recently
appointed as a Representative for the Eastern Region Bed &
Breakfast Association of Kentucky. During January, Michael
attended the Bed & Breakfast Tri-State Conference held in French
Lick, Indiana, and came back with great ideas to improve services
for our Wendover Bed & Breakfast Inn guests.
The fol/owing is an update about Couriers Lucy Chapin and
Elizabeth Lagan who participated in the Courier Program during
i the fall:
Lucy Chapin, Post Mills, Vermont, and a graduate from
Middlebury College, arrived October l4th and left December l9th.
Lucy plans on becomng a nurse—1nidwife and was very excited to
be able to observe three births during her time here.
i Elizabeth Lagan, West Hartford, Connecticut, took time off from
college to explore nurse—rnidwifery. She was able to observe four
- births during her time here. Elizabeth also spent time working
with Hospice. Thanks to the nurse—rnidwives who took time to
mentor these two couriers.
i 7

 I
FRONTIER NURSING SERVICE
>i=**»i=**M>i=>i<********************»i<***
Annual Employee Awards Dinner
During December, Wendover hosted an Annual Employee Awards
Dinner honoring employees for their years of service. A total of 18 l'
employees attended the Awards Dinner. Congratulations to all!
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Hospital Employee ofthe Year i
Mary Breckinridge Hospital Staff ··     at
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is pleased to announce that Bonnie ,..  y ’‘`»‘ ,  
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Richter, Purchasing Agent, was ¢ (#-4   
nominated and chosen as the 2008    
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Employee of the Year. Bonnie has I   {ja,  
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years. Congratulations Bonnie! ‘   Q   .
8
i

 QUARTERLY BULLETIN
**9:***9:**%*****9:9:*9:%***7*:***%*9:*******
Tidbits from FNS Rural Healthcare Centers
I by Ben Peak, Director of Healthcare Centers
Y We continue onward with our mission of sewing the people of
Eastern Kentucky and our outreach program with the Leslie
» County School System.
We wish to welcome Doritta Mullins, FNP, to the family of
providers at the Anne Wasson Clinic. Doritta is a recent graduate
of the Frontier School of Midwifery and Family Nursing and
staffs the clinic four days each week which allows us to provide
extended hours of operations for those individuals that require
medical attention after work or school.
Also, we welcome back J anessa Melton, FNP, to the Anne Wasson
Clinic. Janessa previously worked at the clinic and after an
extended absence while celebrating the birth of her son, she now
returns on a part—time basis and will assist in covering absences
at the other District Clinics.
Our annual Christmas Children’s events were completed in
December with over 500 children and families participating. I
personally thank each of you who make this annual event possible
and, without doubt, so do those who benefit from your giving.
As winter comes to a close and spring is nearing we are anxious
for the redbud’s to bloom, but even more anxious to continue the
rj mission of our founder and inspiration, Mary Breckinridge.
Good health to all.
9

 FRONTIER NURSING SERVICE
**Ma:*M*******************************
A Christmas GM
Employees of the Appalachian Regional Commission (ARC)
decided not to exchange gifts during the Christmas Season but ‘
made a decision to "Adopt a Hospital”. They called and asked if
they could adopt Mary Breckinridge Hospital (MBH) for 2008 and, V
of course, the answer was yes. In mid—December, MBH received
three huge boxes of adorable plush stuffed animals. The stuffed
animals were given to inpatient pediatric patients and newborns.
A special thanks to the employees of ARC. The gifts were very
much appreciated!
***»i<*****#6**Mwe*********************»i<*
F it for Lfel Employee Wellness Program
With the cost of healthcare rising year after year, FNS is always
looking for ways to lower healthcare costs and still provide the
best health insurance benefits possible for its employees. One way
to accomplish this is through early detection and/or prevention
of illnesses.
Recently, F NS, adopted a P it for Life! Employee Wellness Program
and partnered with Occupational Health Solutions (OHS) to assist
with achieving health and fitness goals.
Participants identified as high risk and/or those who demonstrate a
commitment to want to make improvements in their health status,
will be given the opportunity to work with a health coach to assist
them in reaching their health goals.
FNS wants its employees to set a positive example for friends
and community through their own health choices and Fit for
Life! provides education about possible health concerns and
gives employees the resources to make positive lifestyle behavior
changes.
l0

 QUARTERLY BULLETIN
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A Book Written by Author Marie Barlett
* Saving lives on horseback sums up the role of Mary
Breckinridge as told by Marie Bartlett of Asheville, NC, in her
_ fourth non-fiction book entitled Fronter Nursing Service. The
story is told in human terms, focusing on how such a successful
Y organization was built out of commitment and compassion
E against all odds. Much ofthe material from the book came from
1 stories found in the early editions of the Quarterly Bulletin,
p transcripts from the FNS Oral History Project and in the FNS
Archives Collection at the University of Kentucky and Berea
. College. A book signing also took place at the Joseph Beth
Booksellers Store in Lexington on Saturday, February 21st.
1 The book is sold in the FNS gift shop. You may contact FNS
Gift Shop, 132 FNS Drive, Wendover, Kentucky 41775, for
additional information.
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ll

 F RONTIER NURSING SERVICE
Beyond the Mountains
by Barb Gibson
HRSA Quality Improvement Workshop
February 8th — llth, in conjuction with a grant received from the t
Health Resources and Service Administration, FNS staff attended
a grant funded workshop in Albuquerque, New Mexico, on
improving diabetes treatment in rural areas. The FNS group (Dr. ”
Anita Comett, Ben Peak, Director of Rural Healthcare Centers,
Therese Wilhelm, RN, Rural Healthcare Center Quality Assurance/
Infection Contol Coordinator, Frank Baker, Chief Information
Ofhcer and Kristen Bennett, Development Officer), retumed with
an abundance of quality improvement ideas.
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l2

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Emergency Preparedness Program
During January, Edith Hensley, Emergency Room Manager and
P Kevin Cook, Operating Room Manager and Chair ofthe Hospital
Emergency Preparedness Program, attended the Kentucky Hospital
Association’s (KHA) "Trauma Center Veriiication Workshop"
in Versailles, Kentucky. The workshop was very informative
explaining the verification process for Kentucky Hospitals to
become certified Trauma Centers from Level I through Level
IV. Level IV centers can enter into agreements with higher level
centers and transport patients more effectively and quickly without
having to wait for beds to become available.
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KHA Meeting - Patient Safety and Quality Issues
February l7th, Linda Craft, Director of Nursing and Kevin Cook
attended a KHA meeting regarding patient safety and quality
issues. These types of meetings assist Mary Breckinridge Hospital
with staying abreast of issues which concern improving patient
care.
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You must have long—range goals to keep you hom being frustrated
by short-range failures. —C/rar/es C. Nob/e
Our plans micarry because they have no aim. When a man does not
` know what harbor his is making for, no wind is the right wind.
—Marcus Annaeus Senuca
13

 F RONTIER NURSING SERVICE
Frontier School of Midwifery & Family Nursing News
by Kathryn Schrag, MSM CNM FNP
An International Experience in Guatemala
for Frontier Faculty and Students
In October of 2006, FSMFN received a generous donation from
a preceptor, Barbara Norton, CNM, ANP, MSN, of Alaska, for
a trip for two to Guatemala. The purpose of the trip was for W
faculty members to explore possible opportunities to provide an
international experience for FSMFN students. This began a new
journey for Frontier.
In February 2007, Aggie Hoeger, Clinical Director and Kathryn
Schrag, Regional Clinical Coordinator, went to Guatemala where
they were hosted by nurse—midwife Margaret Bean. Aggie and
Kathryn visited thirteen clinical sites during that trip. Three top
sites were selected as potential sites for student experiences. ln
August of 2007, a survey of students revealed a strong interest
in international experiences. In January of 2008, a presentation
was made to the FSMFN Board of Directors and approval was
obtained to move forward with the plan. In August of 2008,
two students were selected from the 20 students who expressed
interest. Selections were made based on academic standing,
students having completed Levels One, Two and Three and their
written statement regarding why they wanted to the experience.
Laura Mabrey and Sarah Updegraft, both Level Four students in
the nurse-midwifery program, traveled to Guatemala. Kathryn
Schrag, MSN, CNM, FNP faculty member, accompanied the _
students during their two week experience.
The first week was spent working with Vamos Adelante, a small #
non—profit organization that provides services to 23 poverty
stricken mountain villages south of Antigua. The core staff
includes live promotoras (community health workers) who work
in the villages teaching about basic nutrition, sanitation, and health
14

 QUARTERLY BULLETIN
care. Once a week a doctor volunteers to do a medical clinic, once
a month a pediatrician comes, and every three months a team sets
up a mobile operating room and does tubal ligations in the humble
Vamos Adelante offices.
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Laura Mabrey, Katlugyn Schrag and Sarah Updegraf
Kathryn, Laura and Sarah spent four days in the villages with
_ the promotoras, three of them living in the home of Felina, the
' village promotora, high in the mountains. They had the remarkable
privilege of being invited into homes to visit pregnant women,
» babies and young children, of watching Felina teach the women
about making oral rehydration solution for their children with
diarrhea, of helping feed malnourished children in a nutrition
program, and of playing games with young children in the
playground of their after school program.
15

 FRONTIER NURSING SERVICE  
The second week was spent at Casa Matema in Huehuetenango T
in the highlands of noithwestem Guatemala. Casa Matema, a
program of Project Concem, is a building next to the national
hospital, where high risk pregnant women who live in remote
villages can live for the last days or weeks of their pregnancy, .
receiving prenatal care and education.
The team from Frontier was able to visit Hospitalito Atitlan on i
the shores of Lake Atitlan, a site for potential future students and
faculty. Additionally, they paid brief visits to two small centers
run by US trained midwives who provided clinical services as
well as education to the local indigenous midwives.
Readers are encouraged to visit the website http://
guatemalatrip2008fsmfh.shutterflycom to see pictures, and find
the website links to the agencies that the students and faculty
visited. The emotional impact of the experience is eloquently
expressed in the closing paragraph of an essay written by Sara
Updegraft, Offthe map, under the volcano, and above the clouds;
the complete essay is on the website.
"We laughed and cried together and with our amazing hosts. We
stumbled over words — who knew that midwi/e (comadrona) and
shrimp (canzaron) sound so much alike?l In the end we learned
that concern, care, and hope are easy to express and understand
in any language. We have grown as individuals, practitioners,
students, and participants ofthe human experience. We have been
encouraged, saddened, empowered, and disillusioned, but mostly
thankful and inspired. We learned A/ar more than we taught. VW) ,
were able to share our experiences and views, feelings, hopes
and _/rustrations with each other and with the wide array of
dedicated and passionate people we had the honor ofmeeting. We t
_ felt a strong sense ofsisterhood and camaraderie, as we bridged
distance and difference. We are forever changed, and we will
carry this experience with us in our hearts, our work and our
conununities. And, l am sure, we will all return  l
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   QUARTERLY BULLETIN
  Former Staff and Courier News
Danielle (Stanko) Godinez, Pittsburgh, PA, (Courier 1995) -
wrote that she is employed as a Family Practice Physician in
, Lower Burrell, Pennsylvania. Danielle and her husband, Lucas,
have three children — Joseph (6), Isabel (5) and Alexander
Matthew bom during January 2008.
Robyn Weller, San Diego, Calybrnia, (FSMFN Graduate) —
wrote that she is working in San Diego, California at Kaiser
Pennanente Medical Center. Robyn and her husband, Eric, have
been married for almost four years and just celebrated their baby’s
first birthday.
Gwen Buchanan, Rochester, New York (FSMFN Gradate 1948)
- wrote that so much time has flown by since she left FNS with
many memories. Since her retirement from nursing in 1982, she
spent time with American Legion (Korean War Vet) and Civil
Service Union. `
Elaine Douglas, Sebring, Florida, (FSMFN Graduate 1961) -
wrote that she is retired and did volunteer nursing until recently
when she suffered a heart attack. There were some complications
but she is better now.
SAVE THE DATE!!!!
Former Couriers and Frontier School of Midwifery & Family
_ Nursing Alumni are invited to the Annual Courier Conclave
and Alumni Homecoming to be held May 9th and 10th, 2009
at Wendover, home of the Frontier Nursing Service. Courier
, Conclave/Alurnni Homecoming will serve as a celebration of
the dedicated work of Couriers and Alumni.
. During March, Couriers and Alumni should receive a formal
l invitation with detailed information.
  17

 FRONTIER NURSING SERVICE
Footprints
Excerpts from I/Wde Neighborhoods
by Mary Breckinridge, Founder
Chapter 1 7 .
"On May 28, 1925, the Kentucky Committee for Mothers and t
Babies held its first meeting in the Assembly Room at the Capitol
Hotel in Frankfort, Kentucky, to form an organization and to elect i
its executive officers.
"The secretary then, Mrs. W.H.Coffman of Scott County, has
been our Secretary for twenty—six (Editor - as of 195 l) unbroken
years. In her minutes of this initial meeting, two things stand out as
significant. One is the fact that the goal at which we were aiming
was clearly seen by everyone that took part in the formation of
what was to become the Frontier Nursing Service. Judge Edward
C. O’Rear of Frankfort, who opened the meeting, said that he was
impressed by the program, by "its sublime audacity," and felt sure
ofits success. He said he knew ofthe conditions and possibilities
of the mountains from having been a part of them; that wherever
you find a highland people they are the seed corn ofthe world.
"The other thing that impresses me now is the flexibility of the
early plans we made. Research is a continuing thing. As one acts,
one gets an insight of what is best for the next action. lt is better
to begin small, as we did, without theoretical ideas of methods of
administration, expansion, and finance. p
"We provided f`or essential things - an annual audit; accurate _
records of the work we were to do; arrangements for medical
consultations and hospital care for our patients (no too far away,
but the best we could do then); the status, legal and professional, of
the nurse—midwives of whom we expected to make use; the choice p
of a place where ‘the value of this service shall be demonstrated ,
first,’ with reciprocal membership provided between a local  
committee and the central committee; honorary membership on i
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 QUARTERLY BULLETIN
the Kentucky Committee of the State Health Officer ex qgjfciog an
executive group, with officers, which would have all the powers
and responsibilities of the Kentucky Committee when it was not
in session, and which should ‘pass on names for membership and
, present them to the Kentucky Committee meetings for ratification,
~ receive and disburse funds, determine budgets, receive and
distribute reports, organize auxiliary committees in other states
i as requested, determine questions of finance, supplies, records,
policies, in co-operation with the directing nurse—midwife, and,
wherever policies are local, with the Branch Committee.’ These
essentials were embodied in a series of Resolutions, which
Mrs. S.C. Henning of Louisville presented to the meeting for
adoption.
"It was not until the following November that Judge O’Rear
drew up articles of incorporation for us, and we adopted them,
with flexible by-laws. It was not until 1928, that we amended
these articles when we changed our name to the Frontier Nursing
Service. By that time we had many more committees than V
the initial Kentucky one, with its first local reciprocal branch
committee, and our work had taken on the national significance
inherent in it from the beginning. At our initial meeting we
elected our executive group and officers. We chose Dr. Alexander
J .A. Alexander of “Woodbum" in Woodford County as our first
Chairman and Mr. C.N. Manning, President ofthe Security Trust
Company in Lexington, as our first Treasurer.
i "The members at this meeting asked me to send out printed reports
, ofthe progress ofthe work throughout the year. That is the genesis
of the Quarterlv Bulletin of the Frontier Nursing Service."
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  l9

 QUARTERLY BULLETIN
In Memoriam
T hesefriends have departed this [fe in recent months. We wish
t0 express our sympathy t0 their families, and 0ur gratittidefor
their interest in our work. `·
Margaret Watkins, Grosse Pointe, Michigan, died October 18, I
2008. Miss Watkins was a Honorary Trustee of the Frontier
Nursing Service.
James (Jim) Hayes, Wendover, Kentucky, died during January.
Mr. Hayes was a neighbor and long time friend of the FNS.
9:9:*9:%:*:**9:********9:9:%**********z':*>'<9<*:':9¢>’:1<
In Memory of:
The following people gave contributions to the FNS in memory of  
their friends or loved ones. The names in bold are the deceased: J
Alfred W. Baldock Mary Ellen Houston ¤
Mr. & Mrs. William G. Nine John W. & Sally McDougall i
Joseph Carter, lll Betty Lou Johnson  
Mr. Joseph Coleman Carter Rhonda M. Johnson  
Mary C. Combs Dr. Richard J. & Mrs. ?
Mr. Philip Combs Marilyn S. Kearns  
Roscoe Day Mr. Thomas Horn  
Mrs. Arlene Day Alsgaard Barry D. & Denise M.  
John H. & Elizabeth S. Roberts Whitehouse 4
Anna Henkel Dickieson, RN Laura Knowles {
Samuel C. & Dorothy Mrs. Susan Dow-Johnson .
Dickieson Betty Jean Lorentzen ‘
Mr. Louis F roio Mrs. Anne M. Lorentzen