The RDNS Sister is giving care to the elderly man in his own home. She is wearing her winter uniform of a blue/grey skivvy worn under a blue/grey herringbone woolen V neck tunic style dress.The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. 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 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.Black and white photograph showing a Royal District Nursing Service (RDNS), Sister, who has short dark hair and is wearing the RDNS winter uniform, standing side on to the right of, and attending, an elderly gentleman who is seated on a couch in his lounge room. On the left, the gentleman has sparse light hair and is wearing dark pants and top over a tartan shirt. A white towel is laying on his right leg. To his right, the Sister has her right arm outstretched straightening clothing at his neck, and is supporting a glass in the mans left hand with her outstretched left arm and hand. The glass is partly hidden by her hand. The man is looking up at the Sister and has his right hand near the glass. The Sister is wearing a uniform skivvy under a V neck tunic style dress. In the background, part of floral curtains and white voile curtains can be seen.Photographer stamp. Quote No. DO 75royal district nursing service, rdns, rdns patient care, rdns uniform

The RDNS Sister is giving Post Natal care to the Mother and babe. She is wearing her RDNS summer uniform which is a white short sleeve blouse under a royal blue V necked tunic dress with the RDNS insignia emblazoned on the upper left.In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose the patient was transferred to their care. Following birth they gave Post-Natal care to both the mother and babe. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and an Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal Service with general and midwifery trained MDNS nurses working from a room at Footscray Hospital, and visiting early discharged Footscray Hospital maternity cases at home. Now as Royal District Nursing Service (RDNS), this service was extended to a Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give post-natal care to the mother and babe.Black and white photograph of a Royal District Nursing Service (RDNS), Sister visiting a family in their home. The family are sitting on a dark coloured couch. From left to right:- The father, who has short dark hair and is wearing a light coloured patterned shirt and dark pants, is looking at his young blond haired daughter who is sitting on his right knee. She is wearing a light coloured top and darker coloured bib and brace pants. The mother, who has long dark hair and wears glasses,.is next to him and is smiling and looking towards the RDNS Sister. She is wearing a long sleeve buttoned grey top and darker coloured slacks, and is holding her babe in her lap with both hands supporting the baby's head. The babe has sparse dark hair and is wrapped in a white bunny rug. Next is a young girl, who has short dark hair and is wearing a light coloured top, darker coloured slacks and has her hands on the top of her left striped sock. Seated on the far right is the RDNS Sister, who has short straight dark hair, and has her face turned towards the child and mother. She is wearing her RDNS uniform of a short sleeve white blouse under a dark V neck tunic style dress which has the RDNS insignia on its upper left. The Sister has a pen attached to the V neck of the tunic and is holding a note book in her hands. She has a watch with a dark band attached to her left wrist. In the background part of a wooden and glass door can be seen and a patterned wallpapered adorns the wall behind the couch.Photographer stamp. Quote No EA 28melbourne district nursing society, mdns, royal district nursing service, rdns, dimc, mdns midwifery, rdns domiciliary infant and maternal care

Sister Ford is based at Moorabbin Centre and is visiting a patient in her home to give her nursing care. Sr. Ford's uniform coat was of blue/grey herringbone winter material and the RDNS curved insignia is attached to her upper left sleeve, It has a royal blue background edged in white and the words "Royal District Nursing Service" written in white capital letters.The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. 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 their Trained nurses (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 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.Black and white photograph showing Royal District Nursing Service,(RDNS), Sister H. Ford, who has long dark hair drawn back and is wearing her RDNS winter uniform grey coat with RDNS insignia on the upper sleeve, standing in front of the opened wire door on the veranda of a patient's home. She has her right hand resting on the door frame and she is holding the black handle on the top of her black oblong nursing case in her left hand. To her left is the partially opened white wooden door with upper glass area, with the partial view of a lady seen in the opening. The lady has dark short hair; is wearing glasses and a light coloured frock and cardigan. The white wooden boards of the house can be seen. Photographer stamp. Quote No. KY 60royal district nursing service, rdns, rdns patient care, sister h. ford, rdns centre

Sister H. Ford is from the RDNS Moorabbin Centre and is visiting a patient to give her nursing care. She is standing with the lady on her veranda. Sister Ford is wearing her RDNS winter uniform coat which was made of blue/grey herringbone winter material. The coat has a collar and is buttoned at the front. The RDNS curved insignia attached to the top of the sleeve has a royal blue background edged in white and with the words "Royal District Nursing Service" written in white capital letters.The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. 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 Trained nurses (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 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 the upper frontal view of Sister H. Ford from the Royal District Nursing Service,(RDNS). She standing with a lady on her veranda. Sister Ford, who has her long dark hair drawn back is smiling at the client. She is wearing her grey uniform coat To her right is a partial back and side view of the lady, who has short dark curly hair and is wearing glasses. She is wearing a light coloured top and has a string of pearls around her neck. A tall wooden fence and flowering bushes are seen in the background.Photographer stamp. Quote No. KY 62royal district nursing service, rdns, rdns patient care, sister h. ford

Sr. Tarn is based at the RDNS Heidelberg Centre and is wearing her RDNS uniform of a royal blue V neck tunic style frock over a white short sleeve blouse, and her uniform royal blue peaked cap with the central attached RDNS insignia. The photograph is taken at two year old Lynette Singh's home. Gradually over the years, Melbourne District Nursing Service (MDNS), later known as Royal District Nursing Service (RDNS) from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area and outer suburbs with Heidelberg Centre opening in 1971. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area (district), taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for re-sterilization, and contact other medical and community personal as necessary. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. 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 their Trained nurses (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 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.Black and white photograph of Sister (Sr.) Joan Tarn of Royal District Nursing Service (RDNS), holding little Lynette Singh in her arms. On the left of the photograph is the upper view of Sr. Tarn who is slightly turned to her left, and has her left arm under Lynette supporting her, and her right hand is on the upper area of Lynette's left arm . She is smiling as she holds Lynette who has a round visage; is looking to her left and her dark curled hair is against Sr. Tarn's left cheek; her left arm is extended over Sr. Tarn's right shoulder. She is wearing a frock with a white background and dark poker dot top section and a darker patterned skirt. Sr. Tarn is wearing her RDNS uniform of a dark V neck tunic style frock over a white short sleeve blouse. Her uniform peaked cap with the central RDNS insignia is worn over her dark curled short hair. In the background the weatherboards of Lynette's home can be seen with a short curtain covering part of a window.Photographer stamp. Quote No. LF 88royal district nursing service, rdns, sister joan tarn, lynette singh

This photograph shows an RDNS Sister doing Liaison work at a Hospital. She will pass the information given about the babe to the RDNS Domiciliary Infant and Maternal Care (DIMC) Sister who will be visiting the baby and her family in their home. Sr. Schofield is wearing the RDNS winter uniform of a blue/grey skivvie under a V neck tunic style frock made of herringbone winter material.Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS) Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge, and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor in the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in DIMC also had their triple Infant Welfare Certificate, though double certificate Midwifery trained Sisters also visited. On the left of this black and white photograph is Royal District Nursing Service (RDNS) Sister Margaret Schofield, who has her long dark hair drawn back, and is smiling as she looks down at a baby being held in the arms of a Hospital Sister. Sr. Schofield is wearing a light grey skivvie under a V neck dark tunic style frock. She has a pen in the V of her tunic, and has a watch hanging under the RDNS logo on its left hand side. Her left hand is resting on a white table which has baby scales with a wicker basket on it. To the right, is the Hospital Sister, who is side-on and facing Sr. Schofield. She is wearing dark rimmed glasses; has her long dark hair drawn back and is wearing a dark cardigan over her white uniform. She has her right arm under the baby with her hand on babe's right leg; her left hand is holding the baby's feet. The baby has sparse dark hair and is wearing a white patterned jacket. Part of a dark filing cabinet is on the right of the photograph and behind the Sisters is a large window, then grass, small shrubs and part of a corrugated clad building can be seen beyond.Barry Sutton LP 43royal district nursing service, rdns, rdns dimc, rdns uniform, sister margaret schofield

Sister Snyders is based at RDNS Essendon Centre. She is a trained midwife working in the RDNS Domiciliary Infant and Maternal Care (DIMC), section and is attending a recently born baby in her home to give Post-Natal care. Often mothers and babes came home early from hospital, many after 24 hours of birth, and RDNS Sisters attended for several days to check babies progress, including - colour, feeding regime, weight, take a PKU test and give any advise needed to the mother. They also gave Post-Natal care to the mother. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. MDNS established Melbourne's first Family Planning Clinic in 1934. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor at the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who carried out DIMC visits also had their Triple i.e. Infant and Child Welfare Certificate, though Midwifery trained nurses also made visits. This black and white photograph shows a close up view of Sister (Sr.) Mary-Ann Snyders from Royal District Nursing Service (RDNS), who is standing and cradling a recently born baby in the crook of her left arm; her supporting arm extends along the babe and her right arm is under babe. Sr. Snyders has short dark hair and is wearing a white gown over her uniform. She is smiling down at the babe, who has dark hair and is wearing a check bib over a white nightdress. To the left, voile curtains are seen over a window and in the background, part of an open patterned curtain is seen.Barry Sutton LW 4royal district nursing service, rdns, rdns dimc, sister mary-ann snyders