February 2012 Healing Environment newsletter

Transcription

February 2012 Healing Environment newsletter
February 2012
No special training needed
Denny DeNarvaez
President and CEO, Wellmont Health System
Completing your
education from
grade school to high
school takes around
13 years. Pursuing
and finishing a
degree in nursing
usually takes two to
four years. And medical school can take
up to eight years or longer. When you
count the hours of education received
with the hopes of bettering your future,
it really adds up.
But what if I said you could make a
difference in your life starting right
now? No special training needed.
Anne Frank, the German-born Jewish
girl known for her resilience during the
Holocaust, said, “How wonderful it is
that nobody need wait a single moment
before starting to improve the world.”
Her words are powerful. Why should we
wait to start improving our world?
Maybe you want to be a part of a
Healing Environment team but
haven’t had the opportunity to attend
a Shepherd retreat. Guess what? Even
though Shepherd training is a great way
to make an impact, you do not have to
wait to receive your Shepherd pin to start
making Wellmont an even better place to
receive care.
In this newsletter, you will read about
several current Healing Environment
projects, but you will also read about
empowered caregivers who went above
and beyond their job responsibilities.
Pam Myatt and Sarah Powers didn’t
have to undergo Shepherd training
to do the right thing. These everyday
heroes helped our patients out of the
goodness of their hearts and because,
ultimately, it’s the right thing to do.
I know most of us went into health
care to make a difference in people’s
lives, and daily you use your training to
help heal patients. But there are other
ways to improve your surroundings and
impact people’s lives.
Be on the lookout for opportunities
to help our patients or your fellow
co-workers. From a friendly smile to
maintaining our meditation gardens
to coming up with your own project, I
know you will choose to do the right
thing to make a difference – no extra
schooling required.
Winter Initiatives
Holston Valley Medical Center
Team members: Paige Mingle (sponsor), Jan Novak (co-sponsor),
Shannon Barker, Randy Hart, Page Mayo, Lowell Pitman and Ashlea
Ramey
To welcome patients to Holston Valley Medical Center,
this team worked to create a video message from Virginia
Frank, hospital president, to play on a loop throughout
the day. The message will introduce patients and visitors
to our services and the Healing Environment. When
completed, the video will help patients and visitors feel
more at ease and well-acquainted with Holston Valley.
2. Expansions and Improvements
to Spiritual Care
Team members: Meg Foster (sponsor), Amanda Blevins, Micah
Covington, Vanessa Greene, Aurora Hensley, Jim Moore, Gail Price,
Priscilla Redwine, Sylvia Roberts, Rosalee Sites, SaraLyn Veech, Pat
Webb, Daniel Winiger and Lisa Zappardo
Spirituality is a key aspect of the Healing Environment.
To highlight Holston Valley’s spiritual care services, this
team first worked to improve the chapel’s appearance.
The improvements not only allow patients and visitors
to locate it more easily, but they can now also be more
comfortable while there. The spiritual care team also worked
to increase awareness of existing spiritual care services by
creating new prayer boxes and staff training modules.
3. Patient Birthday and Employee
Holiday Celebrations
Team members: Brandi Tipton (sponsor), Donna Cleek, Danielle
Combs, Rebecca Hoover, Wanda Salyer, Beth Tucceri and Stephanie
Walling
To celebrate patients’ birthdays, the team incorporated a
stick balloon, pen and special birthday card into a Healing
Grounds Café gift package. For pediatric patients, the
team created a coloring book with each page designed
by hospital employees and their children. The team also
developed a holiday gift assistance program, funded by
a holiday wreath fundraiser and department “adoptions”
so each child received a toy and hooded sweatshirt.
“
The Healing Environment is such a
great program from all aspects. It’s
important for leadership to keep that
personal connection with employees
and to listen to what our patients want
and need. The opportunities are endless,
but the results are what matter.
“
1. Welcome and Discharge
Message from Virginia Frank
Brandi Tipton, Manager and Shepherd, Volunteer Services
4. Patient Parking/Wayfinding
Team members: Ken Wroe (sponsor), Nancy Buchtman, Bill
Carson, Emily Churchwell, Janet Hall, Travis Hanshew, Danny Hoilman,
Jim Perkins, Lindi Scharfstein and Doug Stamper
Healing should begin as soon as a patient enters the Holston
Valley campus. However, for many patients, difficulties
with parking and wayfinding have delayed the healing
process. To ease some of their trouble, this team worked
to update Holston Valley’s existing parking maps and to
educate staff on appropriate parking spaces. The team also
improved signage for visitor areas such as restrooms.
5. Care of the Dying
Team members: Jason Searcy (sponsor), Leslie Gilliam
(co-sponsor), Greta Cantrell, Micah Covington, Kim DeGreen, Jackie
Everett, Deborah Goodman, Cathy Gott, Regina Johnson, Timothy
Rasnick, Robyn Schlagheck, Rosalee Sites, Cassi Stacy, Jamie Vance,
Daniel Winiger and Lisa Zappardo
In the final hours of life, many patients have no family or
friends at their bedside. That’s why this team developed a
program that enables trained volunteers to sit with patients
and provide spiritual support during the final hours of life.
The first phase of the project will be held on W-3, where
nursing staff will identify patients who are dying and have no
family or friends present.
Team members: Kathryn Visneski (sponsor), Jerry Arnold, Freda
Darnell, Jorita Fields, Linda Gemayel and Phillip Warren
“
“
This program hinges on volunteer
support and a unique commitment
to serve. It takes a special volunteer
to want to sit and comfort a patient
who is dying. It is comforting to
know we have members in our
community willing to share their
time, their compassion and their love
for the Lord to make a difference.
8. Dignity Robe Initiative
Jason Searcy, Director and Shepherd, Oncology Services
6. Cleanliness of High Traffic Public
Areas Inside the Hospital
Team members: Joan McVey (sponsor), Terry Blakely, Rhonda
McGhee, Paige Mingle and Ed Pullen
Cluttered, messy public areas can make patients and visitors
feel ill-at-ease. To combat that problem, the cleanliness
team reinstated Holston Valley’s “Don’t Pass It By” initiative,
where team members watched strategically placed pieces
of litter to see if co-workers would pick them up. Those
who did were rewarded with Healing Grounds gift cards.
The team also devised a program for various hospital
departments to “adopt” and keep public areas clean.
7. Employee Memorial Project
Team members: Carol Carter (sponsor), Allison Cordell (cosponsor), Ed Pullen, Rhonda Reeves, Lindi Scharfstein, Brooke Seal,
Melissa Thacker and John Thompson
Patients’ spiritual needs aren’t the only concern of
the Healing Environment. When a co-worker passes
away, his or her fellow employees should have a way
to memorialize their colleague. To create a permanent
commemorative, the employee memorial team worked
with local artists to create a tree sculpture whose leaves
could be engraved with the names of deceased employees.
The team also began work on a recognition process
so no co-worker’s passing would go unnoticed.
Hospital gowns are hardly known for being warm and
modest. The dignity robes team researched gown options that
could cover patients warmly and fully, while still allowing
for medical staff to treat the patient. The team found a cape
option that wraps around patients without bothering IV
lines and other equipment. The capes also eliminate the
need for multiple blankets to wrap patients, thus removing
the risk of tangling them on stretchers or wheelchairs.
9. Comfort Package for Patients
Team members: Martha Pearson (co-sponsor), Barbara
Whitehead (co-sponsor), Donna Anderson, Angela Bellamy,
Ashley Bright, Lauren Luster, Ann Shipley and Marva Wente
While in the hospital, simple comforts like a patient’s
preferred shampoo or perfume can be sorely missed. To
help, this team sought a way to bring luxury items to
patients. The team procured several travel-sized bottles
of lotion, body wash and other toiletries that can be
given to patients. The team also created a puzzle pack to
help keep patients entertained while in the hospital.
10. Restaurant-style Pager for Admissions
Team members: Fred Overbey (sponsor), Becky Boles, Doug
Murray, Martha Pearson, Lowell Pitman and Debbie Pridemore
In Holston Valley’s lobby, patients and visitors waiting
to be registered can be distracted by incessant overhead
pages calling patients to registration desks. This team
sought a way to not only eliminate the noise, but give
patients a subtle way of being notified. The solution was a
restaurant-style pager that lights up and vibrates when a
patient needs to come to the desk. These pagers have been
used in a pilot program with the admissions department.
3
Skype connects
hospice patient with
distant loved ones
T
he inability to connect with out-of-town family
members and loved ones is often painful for
hospice patients. However, the ingenuity of one
Shepherd team allowed a father to see and speak with
his out-of-state family members one last time.
The patient, who was declining quickly, seemed to be
holding on until his family could arrive. Staff members
were fearful he would pass away before the family was
able to fly in, even though travel plans had been made.
Recognizing the importance of this connection for
the patient and his family, Jackie Everett, system
director of Wellmont Hospice, suggested the
use of Skype video conferencing, supplied
by the Shepherd team as a pilot program
at the Wellmont Hospice House.
“Patients often speak with family
members over the phone,” Everett
said, “but the connection is so
much stronger when they are able
to see each other face-to-face.”
With the help of several staff members
and information services personnel, coworkers were able to set up the video conference
between the patient at the Wellmont Hospice
House in Bristol, and his family in New Jersey.
“While it was obviously really important for the patient
to speak with his family, you could also see how it
benefited the loved ones,” Everett said. “He became at
ease. It was as if the stress was lifted off of him, and he
was at peace. The entire family was relieved of the burden
of not knowing if the expected family would arrive
prior to the patient’s death. The connection was made
and all were able to obtain the closure they needed.”
Recognizing the benefits of this type of communication,
Everett said Wellmont Hospice House plans to make
Skype a regular resource in the future. “Skype removes the
distance that stands between patients and their families,
allowing them to make those special final connections.”
Co-workers send a patient
home for the holidays
T
here’s no place like home for the holidays, but sometimes,
the road there can be difficult to travel without help.
Shortly before Thanksgiving, a homeless patient arrived in
Holston Valley Medical Center’s emergency department. The
patient only asked for his symptoms to be treated and to stay
somewhere warm and dry for a while. One of the department’s
physician assistants began treating the man, who opened up
and shared his story.
The patient had been hitchhiking from North Carolina
in hopes of getting to Oklahoma to visit his family for the
holidays. The man had a poor prognosis of cancer and had
been given a short time to live. Chances were this would be his
last holiday.
His condition led him to be admitted to the W-3 unit
overnight. The next morning, the physician assistant who
originally treated him called the floor to say he and his wife
wished to anonymously purchase the man a bus ticket home.
The patient received the ticket before his discharge, and
as his story spread, other staff members in the emergency
department and W-3 chipped in as well. Thanks to their
generosity, the patient had over $100 for food and drinks on his
trip home.
As he left, the patient thanked the staff for their attention and
help. Their efforts far exceeded their job duties but underlined
a common trait of Holston Valley’s co-workers: genuine care
and compassion.
These co-workers demonstrated
that it’s not necessary to be an
official Shepherd to practice
the principles of the Healing
Environment. The true spirit of
healing stems from Holston
Valley caregivers’ desire to do
the right thing and improve
the lives of patients.
Treating this
gentleman’s symptoms
and releasing him
would have been a
simple order, but these
co-workers put forth extra
effort to truly put him on
the road home, and to heal
his spirit on the way.
We always have a choice – they chose to help
E
very day we are given choices. And hopefully, we make the
right choice when it comes to helping a person in need.
Pam Myatt, a nurse, and Sarah Powers, a medical assistant,
both employed at Midtown Medical Center, are examples of
caregivers who, though they haven’t been through Shepherd
training, went above and beyond their daily tasks to care for an
elderly man and his sister.
Recently, a wreck in front of Midtown involving an elderly
gentleman caught the attention of Myatt and Powers.
Witnesses called for help, but the gentleman refused to go to
the hospital.
Myatt and Powers recognized the man as one of their patients
and immediately took a wheelchair to escort him back to their
office. Not wanting him to drive home in his injured condition,
the pair also decided to help him get home safely.
On the way to the patient’s home, they stopped at Volunteer
Parkway Imaging Center, where the patient collapsed upon
arrival. The nurses, knowing he needed further medical
attention, convinced him to go to the hospital before anything
worse happened.
The patient once again hesitated and told the nurses about his
sister, who was at home and confined to a wheelchair. As her
primary caregiver, he was worried about her since she had been
alone for several hours.
Myatt and Powers made sure the patient was taken care of
and went to his residence, where they found his sister. She had
been in her wheelchair all day and was in need of assistance.
The caregivers immediately gave her something to eat and
stayed with her until she could be placed in an assisted care
facility. Knowing her brother would be worried, they took the
gentleman’s car to the hospital, checked on him and assured
him that his sister was safe.
The patient needed extra care and spent several days at Bristol
Regional Medical Center. Had it not been for the kindness
displayed by Myatt and Powers, this gentleman could have
been seriously injured, and his sister would have been left alone
much longer.
When asked why they chose to help, Myatt said, “You’re
supposed to help people when they need it, and helping our
patient in a time of need was the right thing to do. It’s our job
to take care of our patients, no matter what.” Powers added,
“We would do the same for any of our patients.”
This story displays the true definition of a Shepherd:
someone who goes above and beyond the necessary to do the
extraordinary. When the choice is before you, choose to help.
You might just change a life.
5
Winter Initiatives
Bristol Regional Medical Center
1. Ancillary Staff Badge Buddies
Team Members: Amy Magdziuk, (sponsor), Kim Hand (cosponsor), Laura Hutchinson (co-sponsor), Teresa Bott and Patricia Short
This Shepherd team completed a previous project and
acquired “badge buddies” for respiratory therapists, speech
therapists, clinical dieticians and case managers. The
badge buddies allow the caregiver’s identification to be
clearly visible and displays credentials or the department
the caregiver works for. This project helps increase patient
awareness and provides a safer healing environment.
2. Shepherd’s Path
Team Members: Tabitha Huffman (sponsor), Cherlene Coleman
(co-sponsor), Teresa Bott, Vickie Carver, Mary Duncan, Sally Ferrell,
Heather Harvey and Kay Surface
These Shepherds created an information packet for
families of patients who have passed away at Bristol
Regional. Included in each packet is a brochure with
area funeral listings, grievance counseling information,
an information pamphlet and a letter from the hospital.
They also plan to mail cards to the families of patients
who pass. The group hopes to pilot its plan in the
emergency department and is currently working on
posting information on Wellnet for easy access.
3. Emergency Department
Journey Improvement
Team Members: Lacey Johnson (sponsor), Emily Bays
(co-sponsor), Debbie Epperson and Beth Rhinehart
These Shepherds worked toward improving the patient’s
experience in the emergency department. The group
piloted a program in conjunction with the emergency
department to assist patients and their families when
signing in to see a doctor. It also focused its efforts
on traffic control in the emergency waiting rooms.
4. Employee Satisfaction
Team Members: Valerie Hook (sponsor), Bonnie
Burke (co-sponsor), Deborah Bowers and Robyn Kealy
The initiative of this Shepherd team was to heighten
the morale of employees at all levels within every
department of Bristol Regional. The committee began
by researching existing tools, and then educated
employees about its findings. The group also supported
the human resources department and encouraged all
employees to show appreciation for co-workers.
5. Family-Friendly Waiting Area
Team Members: Allen Archer (sponsor), Kendra Stoops
(co-sponsor), Andrew Abel, Shannon Johnson, Katie Stevens and
Monica Strickland
Small changes mean big improvements to the Healing
Environment. This group of Shepherds evaluated
hospital waiting areas and sought to make them more
family friendly. The team renovated and refurbished
waiting areas in the New Life Birthing Center and the
emergency department. The group constructed areas
just for children with wall panel toys and child-size
furniture and installed new TVs in both waiting areas.
6. “Go Green!” Continuation
Team Members: Mary Kate Williams (sponsor), Pam Holt
(sponsor), David Bays, Hazel Farley, Teresa Farmer, Carol Fleenor,
Penny Forbes, Kim Hand, Kathy Pierce and Angela Poston
Shepherds in this group continued work from the previous
term and ordered reusable cups and food containers for
employees to purchase and use in the cafeteria. They also
partnered with LEAD Bristol, a program of the Bristol
Chamber of Commerce, to expand on green initiatives and
educate co-workers on ways the hospital can become more
environmentally friendly. The team hopes to establish a
permanent committee to promote environmental awareness
and green practices throughout Bristol Regional.
7. Complementary Healing Therapies
Team Members: Linda Carlson (sponsor), Teresa Adams
(co-sponsor), Cindy Hale and Michelle Killen
Healing involves not only treating the body, but the mind
and soul as well. These Shepherds focused on ways to
educate staff and patients about available complementary
therapies. Group members distributed information packets
throughout the hospital and discussed the possibility
of offering Reiki therapy to hospice patients. They also
offered tai chi classes for hospital staff members in hopes
of promoting balance of the mind, body and spirit.
8. Healthcare Literacy and Navigation
Team Members: Kelli Thomas (sponsor), Valerie Hook, Tammy
Witt and Brian Worley
These team members focused on promoting health literacy
and improving navigation throughout the hospital. With
the help of multiple departments, they developed a
navigational brochure to distribute to referring physician
practices as an educational tool to use when referring
patients to Bristol Regional for medical services.
9. Skype
Team Members: Lisa Blankenship (sponsor), Tina Strong
(sponsor), Ron Carrier, Diane Foster, Eric Martin, Karen Miller,
Danita Mowl and Barbara Rhymer
charge. Skype has broken many barriers to communication
and allows patients to see and talk with their friends and
families anywhere in the world. The group piloted the
program at Wellmont Hospice House and hopes to expand
the project throughout the hospital in the coming weeks.
10. Streamlining the Discharge Process
Team Members: Tim Anderson (sponsor), Matthew Bledsoe,
Connie Garrett, Lisa Stine, Kim Sweet and Ellen Turpening
Shepherds in this group evaluated the discharge process
and worked with case management to plan discharge dates
when a patient is admitted. They educated physicians
and nurses to add a planned discharge date to the white
boards and provide care with that goal in mind. They also
implemented a process ensuring that, when a discharge
order is written, patients are educated on the discharge
plan and released within two hours if at all possible.
This group of Shepherds worked diligently to offer Skype
services to Bristol Regional patients and families. The Skype
program allows video communication on a computer, free of
Wi-Fi keeps husband and wife together
E
very three weeks, for eight days at a time, Danny Ray Ketron and his wife, Rhonda,
take up residence in Holston Valley Medical Center’s W-3 unit. Their room is a home
away from home, complete with decorations, bedding and a makeshift office for Rhonda.
Rhonda stays in the room during all of Danny’s visits, sleeping on an extra cot and using
Holston Valley’s hassle-free Wi-Fi to work remotely.
“The wireless Internet here is an absolute godsend,” she said, noting how much easier it
became to access the Internet after last summer’s Shepherd project, which brought free,
easy-to-use Wi-Fi to all Wellmont facilities.
Rhonda said the previous wireless system was “crazy… so complicated!” Now, however,
she’s pleased to say the access is streamlined and convenient, “even for the technologically
illiterate.”
“I really don’t know how I’d manage without it,” she said. “I need to keep my job, especially
while Danny’s sick, but I don’t want to leave my husband alone in the hospital, either. This
has been such a blessing to be able to work from here.”
Danny Ray has undergone treatment for a rare form of bone cancer for the past three
years. He said during that time, doctors and staff at Holston Valley have become a second
family for him and Rhonda.
“The level of care and compassion at Holston Valley is just unreal,” Rhonda said. “While
we’re here, the nurses and staff are warm and accommodating. We’ve had a few people
drop in to check on us, even when they’re not working that day.”
While Danny’s road has been rough, he and Rhonda appreciate the support and healing
environment at Holston Valley.
“Ninety-nine percent of this has been a perfect hospital experience,” he said. “I really can’t
thank you all enough.”
7
We thank our Shepherds at Holston Valley and Bristol Regional for helping create a healing environment.
Christine Carrico
Ron Carrier
Sandy Carrier
Sherry Carrier
Linda Carlson
Bill Carson
Carol Carter
Monica Carter
Pat Carter
Don Carver
Vickie Carver
Candis Castle
Peggy Castle
Leslie Chadwell
Martha Chill
Emily Churchwell
Sonya Clark
Troy Clark
Donna Cleek
Theresa Cole
Cherlene Coleman
Katy Collins
Danielle Combs
Frederica Cook
Becca Cooper
Donna Cooper
Angie Conner
Allison Cordell
Greg Cross
Donna Crowe
Danielle Cumbow
Judith Curtis
Freda Darnell
Jill Davenport
Sue Davidson
Christina Dean
Mike Dean
Pam Dean
Patricia Dean
Denny DeNarvaez
Crystal DePew
Yvonne Dillard
Sarah Dixon
Janne Dorsey
Penny Drinnon
Mary Duncan
Elizabeth Dunn
Laura Dyck
Angie Eads
Ann Eaton
Angel Edwards
Getta Evans
Leilani Evans
Hazel Farley
Teresa Farmer
Salena Felty
Sally Ferrell
Hope Fersner
Jorita Fields
Carol Fleenor
Penny Forbes
Anita Ford
Diane Foster
Meg Foster
Mark Foster
Virginia Frank
Letitia Fritz
Lori Gangewere
Connie Garrett
Linda Gemayel
Liz Gilbert
Leslie Gilliam
Diane Glover
Cathy Gott
John Grayson
Judy Gross
Vanessa Greene
Don Guadagnoli
Cindy Hale
Janet Hall
Tammy Hall
Megan Hammonds
Kim Hand
Cheryl Hanger
Travis Hanshew
Sherry Harrison
Heather Harvey
LouAnn Haun
Iris Hearl
Marsha Helton
Aurora Hensley
Suzanne Hensley
Tina Hensley
Robert Herndon
Justine Hill
Tony Hill
Vicki Hill
Angel Hobbs
Brian Hobson
Danny Hoilman
Janice Holt
Pam Holt
Rebecca Holt
Sherry Holt
Valerie Hook
Sandra Hooker
Rebecca Hoover
Freddie Horn
Brooke Horne
Scott Horton
Janie Houser
Jenny Housewright
Bart Hove
Marion Howe
Abigail Huffman
Tabitha Huffman
Tina Hurd
Jenna Hurley
Laura Hutchinson
Sarah James
Janice Jennings
Jana Jilton
Greg Johnson
Lacey Johnson
Regina Johnson
Shannon Johnson
Susan Johnson
Alice Jones
Tammy Jones
Robyn Kealy
Becky Kestner
Michelle Killen
Linda King
Elizabeth Lail
Judith Leonard
Randy Lester
Angel Light
Sue Lindenbusch
Bill Lisenby
Michelle Littleton
Tammy Lloyd
Lauren Luster
Amy Magdziuk
April Marcum
Terri Marcum
Eric Martin
Janice Martin
Shelia Martinis
Page Mayo
Melissa McCall-Burton
Penny McClellan
Desirea McConnell
Rhonda McGhee
Tonya McGlothlin
Marty McKinney
Jami McMullen
Tom McNees
Joan McVey
Gary Metcalf
Brian Middleton
Britta Milhorn
Karen Miller
Lenora Miller
Penny Miller
Terri Miller
Paige Mingle
Michele Montgomery
Beverly Moore
Jim Moore
Sharon Morelock
Rhonda Morgan
Rebecca Morin
Joni Morrell
Robert Moseley
Danita Mowl
Greg Neal
Todd Norris
Janet Novak
Nina Oliva
Angela Orren
Fred Overbey
Jody Pearcy
Martha Pearson
Jim Perkins
Alaina Persinger
Pam Peterson
Kent Petty
Eddie Pierson
Cindy Phillips
Mike Phillips
Suprena Phillips
Katherine Pierce
Valerie Pierce
Eddie Pierson
Lowell Pitman
Steve Playl
Dale Poe
Alice Pope
Angela Poston
Ramona Potter
Krista Poulton
Derril Pruitt
Sandy Pruitt
Brad Price
Gail Price
Jennifer Price
Margie Price
Debbie Pridemore
Ed Pullen
Veronica Quina
Kathryn Ragan
Ashlea Ramey
Darren Ramsey
Mike Randolph
Tim Rasnick
Priscilla Redwine
Rhonda Reeves
Beth Rhinehart
Dallas Rinehart
Sarah Robbins
Sylvia Roberts
Angela Rutter
Barbara Rhymer
Wanda Salyer
Andra Savage
Lindi Scharfstein
Glenn Seabolt
Brooke Seal
Jason Searcy
Cindy Shaffer
Hina Shah
Donna Shepherd
Dorothy Sherfey
Danny Shifflett
Ann Shipley
Glenn Shoemaker
Patricia Short
Vickie Shutt
Katy Sikorski
Sarah Simerly
Patricia Sinclair
Rosalee Sites
Jan Skeen
Barbara Smith
Bev Smith
Gary Smith
Janet Snapp
Cassi Stacy
Lindsey Stafford
Doug Stamper
Joylene Steinmann
Katie Stevens
Brandi Stocks
Marcia Stone
Kendra Stoops
Connie Stout
Monica Strickland
Tina Strong
Elaine Sturgill
Kay Surface
Sharon Sword
Teresa Tabor
Tracy Tate
Angie Taylor
Melissa Thacker
Kelli Thomas
Bonnie Thompson
Amy Tipton
Brandi Tipton
Beth Tucceri
1905 American Way
Kingsport, TN 37660
Andrew Abel
Nick Adams
Teresa Adams
April Akers
Misty Allen
Angie Alley
Joy Allison
Robbie Anderson
Tim Anderson
Allen Archer
Jerry Arnold
Tim Attebery
Kawana Barbour
Gina Barker
Kimberly Barker
Shannon Barker
Betsy Bartee
David Bays
Emily Bays
Rebecca Duncan-Beck
Stacey Bedingfield
Angela Bellamy
Corie Berg
Stephanie Berry
Bethany Bishop
Lisa Blankenship
Tiffany Blankenship
Amanda Blevins
Retha “Michelle” Blevins
Becky Blevins
Vickie Boatman
Rebecca Boles
Debbie Booher
Monica Booher
Irma Boone
Teresa Bott
Deborah Bowers
Tracy Brickey
Ashley Bright
Shelah Brightsen
Nancy Buchtman
Bonnie Burke
Winifred Bussey
Sherry Campbell
Greta Cantrell
Lily Turner
Patty Turner
Ellen Turpening
Ann-Marie Vachon
Jamie Vance
Angie Vandeventer
Velvet Vanover
SaraLyn Veech
Kathryn Visneski
Hope Waddell
Judy Wallace
Stephanie Walling
Joey Walton
Delinda Ward
Heidi Ware
Philip Warren
Valerie Waruszewski
Pat Webb
Brenda Wells
Barbara Whitehead
Pamela Wiggins
Kim Wiggins
Faye Williams
Karen Williams
Mary Kate Williams
Sheri Williams
Amanda Wilson
Margery Wilson
Vicky Winegar
Tammy Witt
Brian Worley
Jim Wozniak
Tammy Wright
Ken Wroe
Michelle Wyatt
Brittany Yancey
Joyce Yates
Lisa Zappardo