The photograph appeared in the MDNS Annual Report of 1922 and is taken on the veranda of the Melbourne District Nursing Society (MDNS) Nurses Home at 39 Victoria Parade, Collingwood. The Sisters lived and worked out of the Nurses Home from June 1914 to 1953. They attended the disadvantaged in the inner suburbs of Melbourne. The Sisters and Matron are wearing the grey uniform and hat with a red Maltese cross is in the centre of the hatband which was introduced in 1921. These Sisters, plus two others visited 29.079 visits in the metropolitan area and in suburbs as far distant as Elwood, Glen Huntly, Deepdene, Essendon and Fairfield. Of the 1666 patients on the books 394 were midwifery patients nursed in their own homes. It is believed the Matron in the photograph is Matron Reynolds. In February 1885 it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded on the 17th of February with one Trained nurse (Nurse) who qualified under the Hospital training system, commencing on the 1st of May, and a second employed six months later, both working in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron. The also supplied equipment, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing clean bed linen and nightdresses and clothes as necessary. In 1891 the first Nurses Home was rented for 1 year at £65 per annum at 66 Cardigan Street, Carlton; Nurses wages were now £60 per annum. A Doctor gave lectures from the Home to the public on the understanding and prevention of diseases. The Society decided to commence a Midwifery Service and Nurse Fowler, who had previously worked for the Society, was re-employed as their first trained Midwife. She began home births in August 1893 giving them Ante Natal care, taking midwifery bundles and providing clothes for the babe as needed. Following birth, she gave Post-natal care to the mother and babe twice a day for three days and then daily for a week, and longer if required. She resigned after twelve months and Nurse Wilkie was appointed to the position. As well as walking, the Nurses used Public transport in the limited areas it ran, though a taxi was used by the Nurses and Midwife in emergencies and at night. Late in 1891 the Society moved to larger rented premises at 49 Drummond Street and in 1902 moved to 188 Leicester Street, Carlton. The Nurses were becoming exhausted, particularly in the heat of summer. Permission to use bicycles was given to them in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each, which included maintenance for one year. Bells and wooden frames were added at a cost of £5 per frame so the Nurses could carry extra equipment. Nurses bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week, and if patients could not arrange to have it collected, the soup was delivered by the Nurses on their bicycles. Their use caused a change in uniform, with white pith helmets, and veils covering them and tied under their chins, now being used. In 1904 the Society relocated to rented premises at 5 Royal Terrace, Nicholson Street in Fitzroy. In 1913 a Nurse had her ‘board and residence, uniforms, bicycles and laundry expenses’ provided and was paid £50 a year for her first six months. At the end of a year her salary was increased by £5, and later she earned £60 a year. Over the years the Nurses complained their veils became wet in the rain and asked for a change of uniform, but this did not occur until 1921. In 1914 the Society was at last able to purchase their own premises, 'Floraston' 39 Victoria Parade in Collingwood. During the Spanish Influenza epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford 'T Model' cars were procured which enabled the Nurses to triple their visits. It was recorded on the 21st of May, that the seven Nurses had visited 1,212 persons with influenza in the last three months, how many visits to each is not known. In the whole of 1918 the Nurses, including midwifery cases, visited 1,100 persons. It was also recorded on May 7th the Nurses were delivering 100 quarts of soup to the needy each morning. In winter they also carried wood in the cars to distribute to their destitute patients as needed. In 1921-22 many of the people nursed by the Trained nurses (Sisters) suffered from malignant and tubercular disease, often the Sister would visit to find the patient was desperately ill living in a room alone and no one there to even give them a drink. In these cases the Sister would send them to hospital, but if possible most cases were nursed in their home. During July 1921- 30 June 1922 the four Midwifery trained Sisters averaged 8 confinement cases a week and sometimes gave Post Natal care to 15 to 18 patients a day. At the time of confinement a Student from the Women's Hospital accompanied the MDNS Sister and if complications occurred the patient was transferred to the Women's Hospital. The Society often had to provide blankets, sheets, set of baby clothes and night gowns for the mother. In many instances the Society provided milk for many months. The midwifery Sisters often travelled long distances in the cars Through constant use the cars were in such a poor state they were sold in 1927 and the Sisters went back to using public transport, as well as their bicycles which continued to be used in inner areas until 1945.. The Midwives used taxis when a birth was imminent. Black and white photograph showing 9 Sisters, 5 standing at rear and Matron, in the centre, of 4 seated Sisters on a balcony wearing their Melbourne District Nursing Society (MDNS) uniforms of grey coats, with revered collars and belt, over their partly seen grey uniforms with white collars. Five of the Sisters are wearing glasses. All are wearing grey brimmed hats with a Maltese cross in the centre of the lighter colour hatband. Part of deep metal scroll work of the veranda rail can be seen. A concrete wall is behind the Sisters.mdns, mdns matron, miss reynolds, royal district nursing service, rdns, melbourne district nursing society, mdns uniforms

The Sister-in-Charge, Florence Lee-Archer, and a Trained nurse (Nurse) are about to leave the Melbourne District Nursing Society (MDNS) Nurses Home at No. 5 Royal Terrace, Nicholson Street, Fitzroy to visit patients. The MDNS moved into these larger premises at No. 5 Royal Terrace, Nicholson Street, Fitzroy in May 1904. This establishment was their Headquarters as well as the Nurses Home. Sister-in-Charge Florence Lee-Archer and five Trained nurses, known as 'Nurse' in those days, were employed by MDNS at that time to visit and give nursing care to the poor in their own homes. In 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded in February 1885 with one Trained nurse, called 'Nurse' in those days, and a second employed six months later, working in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care; educated their patients in the curing and prevention of disease and teaching the importance of cleanliness, fresh air and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. Trained midwives began home births in August 1893 taking midwifery bundles and providing clothes for the babe as needed. The Nurses provided nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. The Nurses were becoming exhausted, particularly in the heat of summer. Permission to use bicycles was given to them in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each, which included maintenance for one year. Bells and wooden frames were added at a cost of £5 per frame so the Nurses could carry extra equipment. Nurses bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week, and if patients could not arrange to have it collected, the soup was delivered by the Nurses on their bicycles. Their use caused a change in uniform, with white pith helmets, and veils covering them and tied under their chins, now being used and straw hats in summer. In 1904 the Society relocated to rented premises at 5 Royal Terrace, Nicholson Street in Fitzroy. In 1913 a nurse had her ‘board and residence, uniforms, bicycles and laundry expenses’ provided and was paid £50 a year for her first six months. At the end of a year her salary was increased by £5, and later she earned £60 a year. Over the years the Nurses complained their veils became wet in the rain and asked for a change of uniform, but this did not occur until 1921.Digital Image showing, on the right, Melbourne District Nursing Society (MDNS) Sister-in-Charge Florence Lee-Archer wearing a long white uniform and white cap with long white tail (veil) seen hanging from its rear. On her left, is a MDNS Trained nurse (Nurse) wearing a long grey uniform with white collar and cuffs, and wearing a pale colour straw hat with Maltese cross in the centre of the white hatband. The hat is held on by a veil over the hat and tied under her chin. They are standing by their bicycles, the front wheels and handlebars seen; the Nurse has a nursing bag attached to the handlebars of her bicycle. Behind them and to their right, a black sign with the words 'Melbourne District Nursing Society - For Nursing the Sick Poor in their Own Homes' written in white capital letters can be seen attached to the metal spiked fence. Behind this are some shrubs and part of a building in the rear.Melbourne District Nursing Society - For Nursing The Sick Poor In Their Own Homes.melbourne district nursing society, mdns, mdns headquarters, mdns matron, rdns, royal district nursing service, sister florence lee-archer

This digital image is taken at the home of a Melbourne District Nursing Society (MDNS) patient, and depicts a MDNS Sister attending to a lady who is lying in a wicker bed pram in the rear garden of her home. The wicker bed pram enabled the lady to enjoy fresh air and to be moved about easily. The image shows the MDNS uniform of a grey cotton frock with white collar, and a grey brimmed hat with a red Maltese cross in the centre of the hatband. In 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded in February 1885 with one Trained nurse, known as 'Nurse' in those days, and a second employed six months later,. The two Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. This image shows a Melbourne District Nursing Society (MDNS) Trained nurse (Sister) wearing a grey uniform with white collar, and a grey brimmed hat, which has a hatband with Maltese cross applied, standing behind and attending an elderly lady patient laying in a wicker bed pram outside her home. The Sister has her right hand resting on the pram and is looking down at the lady, and the lady, who has short grey hair, is smiling and looking toward the camera. Her body is covered with a floral cover. To the left, part of the horizontal weatherboards of a wooden house can be seen, and to the right and rear, a brick, tiled hip roof, building can be seen. The wicker bed pram has four spoked wheels and a metal frame that bends up to form a handle on its right hand side.melbourne district nursing society, mdns, mdns nurses, mdns patient care, mdns uniforms, rdns, royal district nursing service

The group are photographed outside the Melbourne District Nursing Society After Care Hospital at 45 Victoria Parade, Collingwood. This photograph was taken three years after Miss Dorothy Tupper was appointed, in 1941, Matron of the District Nursing Division of 'Melbourne District Nursing Society and After Care Hospital'. She held this position until she retired at the end of 1962. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded, the first Society of its kind in Australia, with one Trained nurse, called 'Nurse' in those days, and a second employed six months later, working in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society only employed qualified nurses (Nurses) trained under the Hospital training system and was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. As the Society expanded bicycles and public transport were used to reach outer districts; before an appeal, during the influenza epidemic, provided four T Model Ford vehicles so the Nurses could visit more patients. Constant change of drivers and lack of time for maintenance caused cars to be disbanded. In addition to bicycles and public transport, a Motor Auxiliary was formed in 1929 and the public drove the District Trained nurses, 'Sisters', to visit patients in outer districts until District had its own fleet of vehicles. The After-Care and District division separated with the District Division moving premises and becoming Melbourne District Nursing Service, then in 1966 with royal patronage, Royal District Nursing Service (RDNS). Expansion followed with RDNS Centres built throughout the Melbourne suburbs and outer regions. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Sitting from left to right in the front row of this black and white Melbourne District Nursing Society (MDNS), photograph is a District nurse (Sister), next is Matron Tupper, (District Nursing Division) next, the Matron of the After-Care Hospital Section of the Society, and two District nurses, one wearing her uniform brimmed hat. Seven Sisters stand behind them, the centre two in white uniform dresses, one with short blonde hair, the other dark. The two Matrons are wearing white veils. The rest of the District nurses are wearing grey long sleeved uniform dresses, and have short dark curled hair. They are in front of a concrete veranda with the brick building behind. To the left of the Sisters a hydrangea bush can be seenGreen Number 948Fmelbourne district nursing society, m.d.n.s., nurses, mdns matron, mdns uniforms, after- care hospital, rdns, royal district nursing service, dorothy tupper

This 1890s photograph shows the early uniform worn by Melbourne District Nursing Society (MDNS) Trained nurses, (known as 'Nurse', in those days), when visiting patients to administer nursing care.The Nurse is speaking with a patient who is sitting in his back garden. It shows the style of clothing and the rear of a weatherboard house of that era. In Melbourne in 1885 it was recognized that skilled nursing was needed in the inner city to care for the sick poor in their own homes. On the 17th of February a meeting was held with prominent Melbourne citizens, five gentlemen and fourteen ladies. ‘Dr. Caffyn and Rev. Charles Strong explained the objects and scope of District nursing Societies that had been formed in other towns’ in UK. On that day the Melbourne District Nursing Society (MDNS) was founded, the first District Nursing Society in Australia. Subsequent meetings were held to form a Committee and to draw up a Code of Rules of the Society. It was decided only nurses who had attended a Nurses Training School and were fully qualified would be employed by the Society, and that the nurses would keep a daily journal of their work. After interviewing several candidates, the first Trained Nurse (Nurse), Mrs. Ferguson, was employed with a salary of £100 per annum and commenced work on the 1st of May 1885. She was employed for three months initially, but this was soon extended, “on the understanding she will make arrangements to live in the more immediate vicinity of her district”. A Doctor was consulted before any person was seen. In rotation, a member of the Superintendence Sub-Committee supervised the Nurse’s visits and could assist to alleviate some of the poor social conditions they found. Though only Trained nurses were employed, the term ’Nurse’ was used in those days. Lady Janet Clarke, a philanthropist, was one of the first two Vice-presidents and President from 1888 until 1908 (except when overseas); she was a driving force in the Society. She held the first fund raiser for the Society at her home ‘Cliveden’ and went on to help organize many functions where she, along with Committee members, manned the stalls to raise funds. She also took her turn to accompany the Nurse, and was noted for her kindness and benevolence. Over the years the Committee, which was made up of 80% ladies, worked tirelessly for the Society; many Auxiliaries were formed. A second Trained nurse, Mrs. Joanna Cannon, was employed in late 1885, with a trial period of six months which was extended. She and Mrs Ferguson were the stalwarts of the Society in the early years, Nurse Cannon remaining with the Society for four years and Nurse Ferguson for five years, though both had a short break due to the heaviness of the work. Nurse’s salaries were reduced to account for the cost of uniforms, and again in later years when establishments were rented by the Society and the nurses could now live in the Nurses Home. The two Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses and clothes as necessary. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their Carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and cooked soup when needed. As the work increased a third Nurse was employed but this was arduous work, particularly in the heat of summer and many Nurses only remained with the Society for several months. Black and white photograph of a Melbourne District Nursing Society (MDNS) Trained nurse (Nurse) wearing a white apron over her grey full length uniform, and wearing a white cap. She is standing and looking down at a man dressed in a white shirt and dark jacket and pants. He is sitting outside the rear of a weatherboard house, the boards of the house are applied vertically. A wooden ladder leans against another wooden building.melbourne district nursing society, mdns uniforms, rdns, royal district nursing service, mdns

This photograph shows Melbourne District Nursing Society (MDNS) Trained Nurses (known as 'Nurse' in those days) attending to a family in the early 1900s. It also shows their uniform which had a red Maltese cross in the centre of the pith helmet. The bicycle seen is the first mode of transport purchased by MDNS in 1903. The Nurse's bag is seen strapped to the handles of the bicycle. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS), the first District Nursing Society in Australia, was founded and the decision was made to only employ fully qualified nurses who had trained in a Hospital. In those days they were known as 'Nurse'. One Trained nurse, was employed in March, and a second employed six months later. They worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care and only attended patients seen by a Doctor. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness, ventilation and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. Trained midwives began home births in late 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. This was arduous work, particularly in the heat of summer. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. Over the years the Nurses complained their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. The Nurses provided high quality nursing care to a range of people often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. The Nurses liaised with the person's Doctor. They educated their patients, and their Carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and cooked soup when needed. As the work increased a third Nurse was employed but this was arduous work, particularly in the heat of summer and many Nurses only remained with the Society for several months. Black and white photograph of two Melbourne District Nursing Society (MDNS) Trained nurses, 'Nurse', wearing their full length grey uniforms, with white collar, cuffs and belt, and white pith helmets with a Maltese cross applied. One Nurse is standing and holding her bicycle, while the other is kneeling and holding a small child. They are in the garden behind a horizontal weatherboard house. A man dressed in dark clothes is also kneeling beside the child. There is a child, dressed in white, in the doorway of the home, and a lady, dressed in a full length black dress and a white apron, is standing in front of the wooden fence in the garden. The bicycle has two large wire spoked wheels at either end of the black V shape bicycle frame; a rubber tyre runs around the outside of each wheel. The metal handlebars are a horizontal configuration and are attached with a central column into a black vertical column at the front of the V shape bicycle frame which has ‘fork shaped’ thin metal pierces running down either side of the wheel attaching the frame to the central hub of the wheel. The rear wheel is attached the same way to a central column at the rear of the frame which runs up to V shape solid seat. At the bottom of the V of the frame a pedal is attached with a rotating arm on either side of the bicycle and on the right side the rotating arm is attached to a sprocket which has a chain running around it back to a smaller sprocket on the hub of the back wheel. The chain has a thin metal guard over it. There are narrow thin metal mud guards running a short distance above the top of each wheel.melbourne district nursing society, mdns, mdns uniforms, mdns transport, rdns, royal district nursing service

This photograph shows a Melbourne District Nursing Society (MDNS) Trained nurse, 'Nurse' in the 1890s who is giving care to a patient who has collapsed in the street. It depicts the type of conditions the Nurses faced in that era and the uniform she wore It shows the help the Nurses received from the Police in that era and also the style of uniform worn by the police. In 1885 it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded in February of that year, the first District Nursing Society in Australia, and it was decided only Nurses who had attended a Hospital Nurses Training School and were fully qualified would be employed by the Society. In those days even though they were trained they were called 'Nurse'. The Society began with one Nurse, and a second employed six months later, working in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. They provided nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their Carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and cooked soup when needed. As the work increased a third Nurse was employed but this was arduous work, particularly in the heat of summer and many Nurses only remained with the Society for several months. Black and white photograph of a Melbourne District Nursing Society (MDNS) Trained nurse, known as 'Nurse' in those days, wearing a white apron over her full length grey uniform with white collar seen; she is wearing a white cap. She is sitting on a step at the front of a weatherboard house attending to a man, who is dressed in dark clothing and is wearing a brimmed hat. He is lying on his side on the pavement with his head close to the Nurse and his face turned towards the road . A policeman, wearing his dark uniform and helmet, is kneeling beside the man. mdns, melbourne district nursing society, mdns uniforms, rdns, royal district nursing service, nursing care

This photograph is a record of Head Nurse, Sister Lee-Archer, and her staff of six Trained nurses, 'Nurses', of the Melbourne District Nursing Society (MDNS) outside their new Nurse’s Home and Headquarters rented at 5 Royal Terrace, Nicholson Street, Fitzroy. The bicycles seen were the first mode of transport purchased by MDNS and allowed these Nurses to extend the nursing visits they made into more Melbourne suburbs.The Melbourne District Nursing Society (MDNS) moved into larger premises at No. 5 Royal Terrace, Nicholson Street, Fitzroy in May 1904. Head trained Nurse, Lee-Archer and her staff of six Trained nurses pose outside the new ‘Nurse’s Home’ at 5 Royal Terrace, Nicholson Street, Fitzroy. The Nurses worked in the districts of North and West Melbourne, the City Proper, Carlton, Richmond, South Melbourne, Fitzroy and Collingwood making 17,954 visits during the year. The Society had a set of bye-laws which outlined the work conditions for the Nurses. Section 111.1 states ‘Each nurse shall be ready to go to her district at 9 am. She will be expected to visit urgent cases on Sundays, and will be required to work eight hours on each week day, to wear the special uniform, and live in the Home of the Society’. In February 1885, only 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS), the first Society of its kind in Australia, was founded with one Trained nurse, known as 'Nurse' in those days, and a second employed six months later. They liaised with Doctors and worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness, fresh air and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel for her use. They loaned equipment, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing clean bed linen and nightdresses as necessary. Trained Midwives began home births in late 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. This was arduous work, particularly in the heat of summer. As the work increased a third Nurse was employed but due to this arduous work many Nurses only remained with the Society for several months. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. In 1913 a Nurse had her Board and residence, uniforms, bicycle and laundry expenses provided and was paid £50 a year for her first six months. At the end of a year her salary was increased by £5, and later she earns £60 a year. Over the years the nurses complained that their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. Black and white photograph of six Trained nurses and their Matron, who has her hair swept up, and is wearing a long white uniform with belt, and white cap; part of her veil is seen hanging down her back, outside their Nurses Home The trained. nurses are holding their two wheeled bicycles, and are wearing long grey frocks, white collars and belts and straw hats with a Maltese cross in the centre of headband, this is held in place with scarves over the hat and tied under their chins. Their nursing bags are strapped to the handlebars of the bicycles. A black sign with the white capital letters 'Melbourne District Nursing Society. ....nursing the sick poor in their own homes' is on the metal spiked fence. The building is made of brick and five long sash windows are seen in the upper section. A metal roofed veranda, held up with four posts and two brick columns, divides the upper and lower section. A door and three long windows are seen which are partly obscured by several bushes behind the fence.melbourne district nursing society, 5 royal terrace, nicholson st carlton, nurses home, bicycles, mdns transport, royal district nursing service, rdns, mdns trained nurses, sister florence lee-archer

This photograph was taken four years after bicycles were purchased by the Melbourne District Nursing Society (MDNS) and is a record of the first mode of transport used by their Trained nurses, and a record of the change of head ware needed now bicycles were in use. The uniforms were grey with white collar, belt and cuffs and a red Maltese cross was in the centre of the pith helmet. Prior to the use of bicycles the trained nurses walked to their patients and had become exhausted, particularly in summer. The bicycles were a solution to this problem, and now they could visit more patients and the Society's areas (districts) could be extended. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS), the first such Society in Australia, was founded with one Trained nurse, called 'Nurse' in those days, and a second employed six months later. They worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets, clean bed linen, and nightdresses as necessary. Trained Midwives began home births in late 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. This was arduous work, particularly in the heat of summer. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. The Nurses provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. Over the years the Nurses complained that their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. Black and white photo of a group of ten (one partially hidden at rear) Melbourne District Nursing Society (MDNS) trained nurses, with each standing with their bicycles in front of a spiked metal fence.The Nurses are wearing their MDNS uniform long grey frocks with white collar, cuffs and belt and white pith helmets with a central Maltese cross. Nursing bags are strapped to five of the bicycles. A large pedestal urn is seen to the left behind the fence between the 3rd and 4th nurse. Bushes and trees are seen in the background. melbourne district nursing society, mdns, nurses, uniforms, mdns transport, mdns equipment, rdns, royal district nursing service

The RDNS Sisters are both holding the 1st day Cover Envelope issued by the Australian Postal Department in 1985 to commemorate the founding of the Melbourne District Nursing Society on the 17th of February 1885. A stamp is in the right hand top corner of the envelope. The main body of the stamp is pale blue. On the top of the stamp, written in deeper blue/grey, are the words "Centenary of District Nursing Services 1985" Below this, and to the right, is a pale bone colour original sign on a metal fence which reads, in white capital letters, "Melbourne District Nursing Society" Standing on the left in the foreground is a MDNS Trained nurse (Nurse) in her long grey uniform frock with white collar, cuffs and belt. She is wearing a grey helmet style hat which has a white hat band with a red Maltese cross in the centre. Her black shoes can also be seen. She is holding a bicycle; only the front wheel and part of the frame and the handlebars, which have a brown nursing bag strapped to them, can be seen, The nursing bag and handlebars cover part of the MDNS sign. At the bottom of the stamp, on a strip of white background, are the words in capital letters "Australia 33c". Below the stamp is a rectangular1st mark. On the left half of the envelope are some sketches of several two storey buildings either side of a set of steps. Some adults and children are standing on the steps as well as in the foreground; some are sketched and others dressed in various coloured clothing. In the foreground right in front of steps, stands a lady with her hair drawn up and wearing along grey frock and white apron; partly seen against her right side is a small child dressed in brown. Sister Willie Fleming is the Supervisor of the RDNS Sunshine Centre and Sister Phillipa Kariko is Supervisor of Essendon Centre. They are wearing their RDNS uniforms of white short sleeve blouses under royal blue V neck tunic style frocks. The RDNS insignia is round and has royal blue writing on a white background. In Melbourne in 1885 it was recognized that skilled nursing was needed to care for the sick poor in their own homes. On the 17th of February a meeting was held with prominent Melbourne citizens, five gentlemen and fourteen ladies. ‘Dr. Caffyn and Rev. Charles Strong explained the objects and scope of District Nursing Societies that had been formed in towns in UK’. On that day the Melbourne District Nursing Society (MDNS) was founded, the first District Nursing Service in Australia. Subsequent meetings were held to form a Committee and to draw up a Code of Rules of the Society. It was decided only nurses who had attended a Nurses Training School at a Hospital and were fully qualified would be employed by the Society, and that the Nurses would keep a daily journal of their work. After interviewing several candidates, the first Nurse, Mrs. Ferguson, was employed with a salary of £100 per annum and commenced work on the 1st of May 1885. She was employed for three months initially, but this was soon extended, “on the understanding she will make arrangements to live in the more immediate vicinity of her district”. A Doctor was consulted before any person was seen. In rotation, a member of the Superintendence Sub-Committee supervised the Nurse’s visits and could assist to alleviate some of the poor social conditions they found. Though only Trained nurses were employed, the term ’Nurse’ was used in those days, not the term ‘Sister’ that is used these days. A second Trained nurse, Mrs. Joanna Cannon, was employed in late 1885, with a trial period of six months which was extended. The two Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and they cooked soup when needed. As the work increased a third Nurse was employed but this was arduous work, particularly in the heat of summer and many Nurses only remained with the Society for several months. A Midwifery Service commenced in August 1893 with Nurse Fowler the first trained Midwife. She had previously worked with the Society carrying out General nursing. The Society expanded its areas using public transport and with the Society purchasing bicycles in 1903, before procuring its first cars to cope with the influx of patients during the Spanish influenza epidemic in 1919, though these were sold in 1927 due to their poor condition..A Motor Auxiliary was formed in 1929 to take Sisters to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia vehicles in 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters, though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Over its years of expansion the RDNS Trained nurses (Sisters), continued to visit patients in their homes and gave best practice care in many fields of nursing, and to people of many cultures. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as Amputees, those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary. On the left of the black and white photograph is Royal District Nursing Service (RDNS), Sister Willie Fleming, who has curly blonde hair, and on the right, Sister Phillipa Kariko, who has short dark hair. They are standing outside Essendon RDNS Centre.. They are both wearing their RDNS summer uniform of dark V neck tunic style frocks, with emblazoned RDNS insignia on its upper left, over short sleeve white blouses, Each are holding an envelope with writing, sketched buildings and figures on the envelopes left side, and a stamp is on the upper right corner. Below the stamp is writing in a rectangle. Behind the Sisters is a brick wall with them hiding some of the white capital letters of the words 'District Nursing Service' and 'Essendon Centre'. Windows and part of the fascia of the building is seen behind this.Handwritten informationmelbourne district nursing society, melbourne district nursing service, mdns, royal district nursing service, rdns, rdns centre, sister willie fleming, sister phillipa kariko, rdns 1st day cover centenary envelope