In 1930 the Society were pioneers in opening an Ante-Natal Clinic at the Melbourne District Nursing Society (MDNS) After-Care Home, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for, and what to do when labour commenced. This image was taken in the Ante-Natal Clinic and shows some of the equipment used at that time and the uniforms worn by Trained nurses (Sisters) in the 1930s. Melbourne District Nursing Society (MDNS) was founded in 1885 and only nurses who had trained in a Hospital Training School and were fully qualified were employed by the Society. It commenced with one Trained nurse (Nurse), and another employed six months later; both walking amid the slums of inner Melbourne administering nursing care to the sick poor. 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 some Ante Natal care, taking midwifery bundles and providing clothes for the babe and mother 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. As the Society expanded it rented premises until it was able to purchase it's own Nurses Home at 39 Victoria Parade, Collingwood in 1914. The Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed. Land was procured next to No. 39, and the Society built the After-Care Home at 45 Victoria Parade, for these patients, and for patients from Hospitals. It was opened in July 1926 and the name of the Society then became ‘Melbourne District Nursing Society and After-Care Home’ (‘Hospital’ from 1934) The Ante-Natal Clinic at the Melbourne District Nursing Society After-Care Home was opened on the 23rd of September 1930 and MDNS Midwifery patients were encouraged to attend. Prior to the opening of the clinic Ante-natal care was not considered important, but within a short time 100 percent of MDNS Midwifery patients were attending. During 1934 the Women’s Welfare Clinic, including at the time a very controversial Family Planning Clinic, the first of its kind in Australia, was opened to support women at risk following multiple and difficult pregnancies. The Clinic gave advice on birth-control and was attended by their own patients at first, but then accepted patients from Melbourne public hospitals until their own clinics were opened.Digital image showing a Doctor and three Melbourne District Nursing Society (MDNS) Sisters attending a patient in the Ante-Natal Clinic at the After Care Hospital. In the forefront is a set of scales standing on the floor, behind which is the lady lying on a wooden framed bed with the base slightly raised at the top end supporting a white pillow and the lady's head. The lady has short dark hair and her frock can be seen to her waist; the rest of her body is covered by a white sheet and dark coloured blanket. Behind her and to the right of the image, are two Sisters wearing dark coloured long sleeved uniforms which have a belt and white collar; they are both wearing white veils over their short dart hair. To their left is a Doctor who has short dart wavy hair and is looking down at the lady. He is wearing a long white gown and has a stethoscope in his ears with the other end held in his right hand. To his left is another Sister who is wearing a white veil over her dark curled hair, and is wearing a long white gown. In the rear between the Doctor and Sister a hand basin can be seen. On the far left of the picture a trolley with two cloth covered shelves can be seen; a basin and squat bottle sits on the top shelf and kidney dish on the lower one. Behind this, part of a window can be seen.after- care hospital, 45 victoria parade collingwood, melbourne district nursing society (1885-1957), ante-natal clinic, after-care home, mdns midwifery, rdns, royal district nursing service

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 shows the sun roof on the Melbourne District Nursing Society After-Care Hospital, 45 Victoria Parade, Collingwood. It shows some of the children nursed at the home. Many children were nursed there long term during the Poliomyelitis epidemic in the 1930s. It also shows uniforms worn by nurses and Sisters in the 1930s. The Melbourne District Nursing Society After-Care Home was originally established to provide nurse-managed convalescent care to poor and underprivileged patients who could not look after themselves at home due to illness, or on release from hospital. Opening in 1926 following a public appeal for funds, at a cost of £27,000, the Home included maternity, children’s and adult wards as well as accommodation for Matron, twelve Sisters and four domestic staff. Many children were nursed there, some long term, during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Sisters and nurses and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic, including at the time a very controversial Family Planning Clinic, the first of its kind in Australia which was opened to support women at risk following multiple and difficult pregnancies, giving advice on birth-control. At first the clinic was attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. . Major extensions in 1934 led to the After-Care 'Home' having a name change to 'Hospital'. A trained Almoner was employed in 1934 but she resigned after twelve months due to the work load. Unable to procure another due to a shortage of trained Almoners, a Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. Following Government intervention, the After-Care Hospital was separated from the Melbourne District Nursing Society in 1957. The After-care Hospital continued to operate at the same address until 1985 when it became the Melbourne Geriatric Centre. This digital Image shows two nurses and two Trained nurses (Sisters) supervising convalescing children in the roof garden of the Melbourne District Nursing Society After-Care Hospital . The two nurses are with the rear children, one on the left and one on the right. Both are wearing long white aprons over their long sleeved dark grey uniforms, and both are wearing white caps over their dark hair. On the right rear, in front of a row of glass windows, the upper portion of a Sister can be seen wearing a white uniform and white veil. In the right front is another Sister who is wearing glasses and is wearing a white uniform and dark coloured cape. She is wearing a white veil over her short dark hair. There are three boys and four girls resting on cane lounges; some are reading books and one girl is holding a doll. Another boy, who is wearing a dressing gown, is sitting on a cane chair. There is a trellis and a wall of windows on the left of the image and some brick work and a wall of windows on the right hand side behind the Sisters.. Some pots with low and tall plants can be seen.A tiled hip roof of a building can be seen in the rear of the image.mdns, melbourne district nursing society, after- care hospital, nurses uniforms

Each Ward in the Melbourne District Nursing Society After-Care Hospital, at 45 Victoria Parade, Collingwood, had a Sun Room which was well lit by its many windows. This digital image is taken in one of the Sun Rooms and shows the type of hospital beds, furniture and the uniforms worn by Sisters and nurses in the 1930s.Melbourne District Nursing society opened the After-Care Home, situated at 39 Victoria Parade Collingwood in 1926 following a public appeal for funds. The name changed from 'Home' to 'Hospital' in 1934. The After-Care Home was originally established to provide nurse-managed convalescent care to poor and underprivileged people who could not look after themselves at home due to illness or on release from hospital. Opening in 1926, at a cost of £27,000, the home included maternity, children’s and adult wards as well as accommodation for Matron, twelve nurses and four domestic staff. In 1930 an ante-natal clinic was opened at the home. During 1934 the Women’s Welfare Clinic including, at the time, a very controversial Family Planning Clinic, the first of its kind in Australia, was opened to support women at risk following multiple and difficult pregnancies. Major extensions occurred in 1936. Each Ward in the After-Care Hospital at 45 Victoria Parade, Collingwood, had a Sun Room which was well lit by its many windows. Several donors gave money to furnish some of the Wards. Following Government intervention, the After-Care Hospital was separated from the Melbourne District Nursing Society in 1957. The District division of Melbourne District Nursing Society became the Melbourne District Nursing Service and moved to 452 St Kilda Road; later, in 1966, with Royal patronage this became Royal District Nursing Service (RDNS). The After-care hospital continued to operate at the same address in Collingwood until 1985 when it became the Melbourne Geriatric Centre. This digital Image shows six men patients and nursing staff in a Sun Room in the Melbourne District Nursing Society After-Care Hospital. In the left foreground is a low bedside cupboard, beside it is a man with short dark hair lying in an iron framed hospital bed with a white cover pulled up to his shoulders. A Sister, who is looking at the camera, is wearing a grey uniform with a white collar, and a white veil over her short dark hair; she is standing behind, and at the head of the bed with her right hand holding the vertical bar of the bed frame. Behind her is an open door and then a nurse wearing a long white apron over her grey long sleeved uniform; she has a white cap over her shoulder length dark hair and is looking at the camera. Both of her hands are resting on an empty cane chair. Next along is a man with a bandage wrapped around his head and over his left eye. He is wearing dark clothing and is sitting on a padded cane chair, as are the rest of the men in the room. To the rear, in front of four long windows, are another two men, one on the left has short white hair and is wearing light clothing, and to his right is a man with short dark hair and is wearing a dark dressing gown over light colour pyjamas. On his right is a large vase of flowers on a tall white stand. On the right hand side of the photograph are another two men with short dark hair and wearing dressing gowns; part of a wall with windows can be seen behind them.mdns, after- care hospital, melbourne district nursing society, rdns, royal district nursing service

The photograph is taken in the Waiting room of the Ante-natal Clinic at the Melbourne District Nursing Society After-Care Home at 45 Victoria Parade, Collingwood. On the 23rd of September 1930 the Ante-Natal Clinic opened at the MDNS After- Care Home. This photograph also shows Matron and Sister's uniforms in the 1930sThe Melbourne District Nursing Society (MDNS) were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Society built, then opened, the After-Care Home, (later called After-Care Hospital), in 1926, for these patients, and patients from Hospitals. Many children were nursed there, some long term during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Trained nurses and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. A Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. In 1957 the Hospital and Charities Commission decided to take over the After-Care Hospital, so the Melbourne District Nursing Society and After-Care Hospital separated and the Melbourne District Nursing Service was formed, setting up Headquarters at 452 St. Kilda Road, Melbourne. On the 5th of October 1966 the name changed to Royal District Nursing Service (RDNS) after being granted Royal patronage. Black and white photograph showing seventeen seated ladies, some partly hidden, six small children, and the Matron and two Sisters of the Melbourne District Nursing Society After Care Home. The Matron is wearing a white uniform and veil, and the two Sisters are wearing grey uniforms with white collars and veils, one is holding a baby and the other a small child dressed in dark clothing, they are on the far left and rear of the photograph. The ladies are wearing either grey or black clothing, several are wearing hats and some are wearing berets. They have short or shoulder length dark or lighter coloured hair. A Doctor, with short dark hair and wearing a white coat, is standing at the far right on the photograph. On the left, a window can be seen behind one of the Sisters. The wall at the rear of the room is paneled. after-care home, mdns, melbourne district nursing society, ante-natal clinic

This RDNS Liaison Sister is reassuring a lady who is being discharged from Mount Royal Rehabilitation Hospital regarding the visits she will receive from RDNS Sisters in her home. The Liaison Sister had previously visited the lady in the Ward to ascertain the care she would require at home and this information had been passed to the appropriate RDNS Centre and to the Sister who would be visiting the lady in her home. The RDNS Sister is wearing her RDNS winter uniform of a blue/grey skivvie under a blue/grey winter material herringbone V neck tunic style frock. She is wearing her blue/grey herringbone winter material hat.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. 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 field staff and Doctors when patients were referred by General Practitioners and did not attend a Hospital. Rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by the RDNS Sisters.On the right of the black and white photograph is a Royal District Nursing Service (RDNS) Sister, who is wearing her uniform hat over her short curled hair, and a pale skivvie under a V neck tunic style grey dress. She is leaning forward with her left hand on the arm of a wheelchair, and is smiling at a lady, who has short curly hair; is wearing glasses and grey frock with a belt, and is sitting in wheelchair. She is holding the tops of walking sticks with both her hands; the foot of the sticks are resting on the ground. The footplates of the wheelchair are open and the lady has her feet on the ground. To her left stands a gentleman who has short dark hair and is wearing a buttoned up dark cardigan over a light coloured shirt, peaks showing, and light trousers. He is holding a 4 prong stick in his right hand and is looking at the lady. A Hospital Sister, who is wearing a dark cape over her white uniform and a white veil over her short dark curly hair is standing behind the wheelchair looking down at the lady. In the background, part of a brick wall can be seen on the left and to the right of this an open glass door and to its right is a closed glass door with writing on it.Barry Sutton Photographer's stamprdns, royal district nursing service, rdns uniform, rdns liaison, rdns rehabilitation

This photograph is a record of Matron Beatrice Williams with some of the Trained nurses (Sisters) who worked in the District division of Melbourne District Nursing Society After Care Home in 1933, just prior to Matron Williams resigning to be married. It was taken in front of the Nurses Home at 39 Victoria Parade, Collingwood and shows part of the District nursing uniform worn by the MDNS Sisters in the 1930s. At that time their uniform dresses, worn under their coats, were grey cotton and their brimmed hats were made of felt and had a red Maltese cross applied to the centre front of the hatband.Miss Beatrice Williams worked as a Trained Nurse (Sister) with the Melbourne District Nursing Society (MDNS) before going to England to gain her Midwifery certificate. After qualifying, she worked as a Tutor sister and a District Superintendent at the University College Hospital in London. On returning to Australia she was appointed, in April 1929, Matron of the District division of the MDNS After-Care Home (Hospital from 1934). She convinced the Committee of the need for Ante Natal care and in 1930 the Ante Natal Clinic was opened at the After-Care. She continued as Matron until 1933 when she married Dr. J.P Major, and was invited to join the Committee of Management. In the early 1950s when the Government requested the Society separate and it take over the After Care Hospital, she became President of the now named Melbourne District Nursing Service with its Headquarters and Nursing Home moving to 452 St. Kilda Road, Melbourne. Beatrice had an understanding of the poor, the sick and the aged, and was known for her kindness and sympathy. Her foresight, leadership and enthusiasm brought forth the expansion of District nursing. She died on the 15th of August 1958. The Trained 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, 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 Matron, Miss Beatrice Williams, wearing a white uniform and veil over her short dark hair, and a group of thirteen Melbourne District Nursing Society Trained nurses (Sisters) outside the front of their Nurses Home. The Sisters are wearing grey coats over their grey uniforms and grey brimmed hats with a Maltese cross applied to the white headband. Matron is sitting in the centre of six Sisters and there are seven Sisters standing behind them on the veranda; a round column is seen to the right between the 4th and 5th Sisters. Part of the grey building behind shows an open door to the left and a long window to the right. A scrolled metal safety rail, running from the round column, is seen in front of the three nurses on the right. The seated Sisters and Matron have their legs crossed at the ankles, melbourne district nursing society, mdns nurses, mdns, rdns, royal district nursing service, mdns uniforms, matron beatrice mary williams

This photograph shows a Melbourne District Nursing Society (MDNS) Sister visiting a patient in his home. The photograph shows her taking his temperature and pulse and carrying out basic nursing observations. The Sister kept a record of this information in the man's Nursing History at MDNS Headquarters and conveyed it to the patient's Doctor as required.The Trained 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, 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.This black and white photograph shows a Melbourne District Nursing Society (MDNS) Trained nurse (Sister) standing on the left of a man who is in his bed on the veranda of his home. She is wearing a white gown over her uniform and her grey uniform hat, which has a hatband showing a Maltese cross in the centre; she has her left hand on the man's right wrist and is looking down at a watch she is holding in her right hand. The man, who has short dark hair, is holding a thermometer in his mouth. He is partly propped up with his head resting on a white covered pillow; part of the iron frame of the bed is seen to its left. Most of his body is covered with light coloured bedclothes; part of his pyjamas can be seen. Part of a vase of flowers is seen just behind the Sister's left arm. In the left of the photograph, part of the weatherboards of the house can be seen with a window, partly obscured with a blind. To the right of the man is a veranda post and some pickets of a wooden fence; behind him part of a brick wall is seen.melbourne district nursing society, mdns, mdns uniforms, rdns, royal district nursing service

The MDNS Trained nurses (Sisters) are about to board two motor vehicles outside their Nurses home, at 39 Victoria Parade, Collingwood, to be driven to give nursing care to their patients who lived a distance away. The lady Chauffeur is probably Miss Sword who was employed by MDNS in 1922-23; she was also in charge of the garage. This enabled the Sisters to do more visits in a day than when using Public transport all the time. This image also shows the style of cars driven in that era. The Sisters uniforms are grey and their hats have a red Maltese cross attached to the centre front of the hatband. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu 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. Through constant use the cars were in such a poor state two were sold in 1922 and the others later. In 1922-23 three Peugeot cars were purchased and a female Chauffeur, 'Miss Sword', was employed who lived in the Home and was also in charge of the garage. MDNS was expanding, and In 1929 Melbourne District Nursing Society (MDNS) formed a volunteer Motor Auxiliary to transport their Trained Nurses (Sisters) to make visits more patients who lived a distance away. At first wealthy people offered their car and chauffeur, but then the general public supplied their own vehicles. They operated on week days when able and could take up to three Sisters at a time, collecting them from the Nurses Home, 39 Victoria Parade, Collingwood, at 9 a.m; dropping each Sister at a patient then picking them up and taking them to the next patient before completing the morning round and returning to the Nurses Home at 1 p.m.. The Sisters were able to double the number of visits they did each morning and did their afternoon visits on public transport. At its peak there were 60 volunteers but this fell off during World War 11. In 1944 the Red Cross were assisting, and by 1953 were taking out 16 MDNS Sisters. Appeals for volunteers occurred over the years, particularly during the Tram and Tramway Bus strike in the 1950s, and when the Royal Women's Hospital had an influx of births and wanted to send the mothers and babies home on day four but could not do so if M.D.N.S. could not visit. During 1962 the Motor Auxiliary transported 34 Sisters who preferred not to drive themselves, but as the MDNS fleet of cars grew there was less need for their service and the Auxiliary was disbanded in 1971. 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 cars 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. IA black and white digital image showing, in the left foreground, the frontal view of an early model, 1920s, soft hooded car parked on the road next to the gutter. Two front spoked wheels are seen, and headlights sit either side of the radiator at the front of the nose shaped bonnet.. '3758' is written in white on the black number plate below the radiator. The female Chauffeur is dressed in a dark coat and peaked hat and is standing by the partly open driver's door. The passenger door is open and a Melbourne District Nursing Society (MDNS) Sister is standing on the footpath behind the door. Another Sister stands behind her. There is another similar car parked behind the first one. It is partly obscured, its hood is down; it has spoked wheels and one of its headlights can be seen beside the partially obscured radiator. Part of the black number plate can be seen with two of its numbers, '69', written in white. A partly obscured Sister is standing by the driver's door and another behind the open passenger door. Another Sister is standing at the rear of this car..The five MDNS Sisters are wearing their uniform grey coats and felt brimmed grey hats with a Maltese cross applied to the centre hatband, Leafless trees and some buildings can be seen in the background.melbourne district nursing society, after-care home, rdns, royal district nursing service, mdns motor auxiliary, mdns uniforms, miss sword, female chauffeur

This photograph is taken in the home of the lady and shows MDNS Sister J. Faust giving an injection, using a glass syringe, into the right upper arm of the lady. This type of syringe was re sterilized. These syringes remained in use until the mid 1960s when disposable plastic syringes took their place. This photograph was used in a video on the history of RDNS which is held by the organization. It is a record of the type of care given by Melbourne District Nursing Society (MDNS) Trained nurses in a patient's home.The Trained 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, 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 Melbourne District Nursing Society (MDNS), Sister J. Faust who is wearing her grey brimmed uniform hat over her dark curled hair and is wearing a white gown over her grey uniform which is seen below her gown. In her right hand, she is holding a syringe, with needle against the lady's skin, and her left hand is on the upper right arm of the lady above the needle site. The lady, who has light coloured curled hair and is wearing a dark coloured long frock, is standing to the right of the Sister and is holding the right sleeve of her dress up with her left hand. A metal sink with cupboards below is behind the lady. To the left is fireplace which is now tiled at the rear and has a gas stove with kettle on a jet in the space. A row of three pale coloured kitchen canisters in decreasing size sit on the mantle piece. On a shelf above these sit a dark coloured box and a tall thin vase. Staff members name is written on the back of the photograph.melbourne district nursing society, nursing care, royal district nursing service, rdns, mdns, nursing care - medications, mdns uniforms, j. faust

The photograph is taken in the Physiotherapy Department at Mount Royal Hospital. RDNS Sr. Sue Revill is from RDNS Moorabbin Centre and Sr. Helen Watt is from Footscray Centre, They are attending an Education session on Rehabilitation at Mount Royal. Hospital. They are wearing the RDNS winter uniform of a blue/grey skivvie under a V neck tunic style herringbone winter material dress with the RDNS insignia emblazoned on its upper left.Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses (Nurses) who trained through the Hospital training system were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sister Pat (Paddy) Rowley was a leader in this In-service Education and established the MDNS, later called RDNS, Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and district nursing systems. Many programs were run at RDNS, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home, and to Mount Royal Hospital to observe the care of clients in the Rehabilitation ward. A Community Nursing Education Program was extended to Student nurses from Hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin did a Post Basic Course in Psychiatric Nursing and included this area in her education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Registered Nurses. Black and white photograph depicting, on the left, a side-on view of a Hospital Physiotherapist with her long hair drawn back in a pony tail, and wearing a grey V neck dress over a white blouse and a dark cardigan who is facing right. She has her left hand on the arm of a standing lady and her right hand on the lady's hand which is on a walking rail. To the right rear of the Physiotherapist is Royal District Nursing Service (RDNS) Sister Sue Revill who has shoulder length dark hair and is looking at the lady. To her right the elderly lady who is wearing glasses; has wavy white hair and is wearing a light grey frock, is standing in front of a wheelchair with her right hand on the walking rail. Her left arm hangs loosely by her side. To her right is a walking rail and standing to its right is Sr. Helen Watt who is looking towards the lady. She has short dark wavy hair, and has her right arm around the back of the lady and her left hand is on the walking rail. In the background of the photograph, the lower section of several 4 prong walking stick are seen hanging on the wall. Barry Sutton photographer's stamp. Quote KY 78rdns, royal district nursing service, rdns uniform, rdns education, sister sue revill, sister helen watt

RDNS Liaison Officer, Sr. Barbara Watson is attending a meeting with members of Dr Kay's Coronary Care staff at the Alfred Hospital. Sr. Watson is wearing her RDNS winter uniform of a blue/grey skivvie under a V neck tunic style herringbone winter material dress.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, coordinated 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 attended 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.On the left of the black and white photograph is Royal District Nursing Service (RDNS) Liaison Sister Barbara Watson who has shoulder length blonde hair which is curled at the ends; she has her hands clasped in her lap. She is wearing her uniform light grey skivvie under a V neck tunic style dress and is seated on a chair, the first in a semi circle alongside five lady hospital staff members and Doctor Kay. To the right of Sr. Watson sits a lady who has shoulder length curled hair and is wearing a white hospital coat over her clothes, with part of her dark skirt seen.. Next is a lady with long dark curled hair who is wearing a white uniform dress under a dark cardigan. To her right is a lady with long dark straight hair who is wearing a white uniform dress and a dark cardigan; she has a pen in her right hand which is poised on a piece of white paper resting of her right knee. To her right is a Sister, wearing light rimmed glasses, and wearing a white uniform dress and a white cap over her short dark straight hair. A hospital badge is attached at the top neck of her dress. She has her hands clasped on her lap and is looking to her right at the Doctor. Next is a lady with short straight dark hair who is wearing a white hospital coat over a grey dress. On the far right is Dr. Kay, who has short dark hair and is wearing a white hospital coat over a grey shirt, dark tie and dark trousers.He is looking to his right. In the left background is a long table and to the right some papers can be seen attached to boards on a wall.Barry Sutton's photographer's stamprdns, royal district nursing service, rdns uniform, rdns liaison, dr. kay,, sister barbara watson

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

The 'Melbourne District Nursing Society After Care Home' was built by MDNS in 1926 and the name changed from 'Care' to 'Hospital' in 1934. It was located at 45 Victoria Parade, Collingwood. This photograph is taken three years after Miss Dorothy Tupper was appointed Matron of the District Nursing Division of the Society in 1941. The Sisters in this Division worked in the community giving nursing care to people in their own homes.From its foundation in 1885 the Melbourne District Nursing Society (MDNS, were instrumental in giving care to their patients, and to assist them if they had financial problems or resided in poor living conditions. Miss Dorothy Tupper, who as a Trained nurse, had undertaken a course in hospital housekeeping at London Prince of Wales Hospital, was contacted by MDNS in 1939 and, possessing both business and humanitarian qualities, was asked to organize their newly established Social Service Department. As the MDNS Social Service Sister, she assessed the living conditions in patient's homes. She continued in this role until being appointed Matron of the Society's District Nursing division in 1941. Matron Dorothy Tupper announced her retirement in December 1962. As Matron for 22 years she played a major role in the employment and management of an ever increasing nursing workforce as well as help oversee the expansion of the service. Matron Tupper was known for her keen sense of duty, her high professional standards and never-failing concern for patients. The photograph was taken by Sun Newspaper photographer and appeared in an article about the MDNS in September 1944Black and white photograph showing Melbourne District Nursing Society (MDNS) Matron, Dorothy Tupper, standing side on, and to the left, of three District Trained nurses (Sisters) who are seated in the grounds of the After-Care Hospital. Matron Tupper is wearing a light coloured uniform which has a belt and a centre box pleat on the lower part of the skirt; a grey brimmed hat with a darker grey hat band sits over her short dark hair. She is looking down at the first Sister on the seat who is looking up at her. The Sisters at either end of the seat are wearing dark grey double breasted coats with lapels; the collars of their light colour uniforms can be seen. Both are wearing grey brimmed hats over their short dark hair. The Sister at the far end is wearing glasses and the Sister near Matron Tupper is holding a book. The centre Sister has shoulder length dark hair and is wearing a light coloured long sleeve uniform. She is also holding a book. Both these Sisters are looking toward Matron Tupper. The seat is made of wood and is against the concrete veranda of the building behind. Scrolled metal lace work is directly behind them with a round thin concrete post to the left of Matron Tupper and the other end of the lace work is fixed to the concrete square corner columns. One turns to the right and the concrete wall of the veranda attached can be seen running in front of part of the brick wall of the building.after- care hospital, melbourne district nursing society, mdns, nurses, matron, mdns social service department, rdns, royal district nursing service, matron dorothy tupper

This is a photographic record of Matron Beatrice Williams and the Trained nurses, (Sisters), of the District Nursing division of the Melbourne District Nursing Society who worked in the community give nursing care to patient's in their homes. Their uniforms are grey and the Maltese cross on the Sisters hats is red.From its earliest years when Melbourne District Nursing Society (MDNS) began to wear uniforms the chosen colour was grey, though the style changed throughout the years as fashions changed from the late 1800s through to the 1970s. The Trained nurses (Nurses), firstly wore long grey frocks and a white cap with a long white tail hanging from the centre back. When bicycles were introduced in 1903 the headgear changed to a white pith helmet adorned with a red Maltese cross in the centre front. This was held on with a veil going over the hat and tied under the chin. Over the years there were complaints that the veils became wet in the rain and they asked for a change of uniform, but this did not happen until 1921. Later the Nurses complained their skirts became wet when riding their bicycles in the rain and asked, when raining, to be able to wear breeches and gaiters. This was granted provided they wore aprons when attending patients. It was not long before the uniform changed to a shorter length grey frock, red cardigan, grey coat and grey brimmed hat; later changed to a peaked grey hat. In 1966 MDNS were granted Royal patronage. Now as Royal District Nursing Service, RDNS, the uniform was redesigned and colour changed in 1971. By 1972 the Trained nurses (Sisters) were wearing the new winter uniform of a blue/grey skivvie under a V neck tunic style frock made of blue/grey herringbone winter material with the RDNS insignia on the upper left, and a beret of the same material. In summer the uniform became a royal blue V neck tunic style frock, with the RDNS insignia on the upper left, worn over a short sleeve white blouse. A royal blue peaked hat with the RDNS insignia in the centre front was worn at first and then only worn on official occasions. This uniform was worn until changed to a corporate style in the mid 1980s,Black and white photograph of Matron Beatrice Williams wearing a white uniform and veil, with a group of twelve Melbourne District Nursing Society (MDNS) trained nurses (Sisters) wearing their calf length uniforms of grey coats, and grey brimmed hats with pale grey hat band with central Maltese cross, standing in the garden of the MDNS After-Care home.No. 8526 on rear of photographmelbourne district nursing society, mdns, mdns uniforms, rdns, royal district nursing service, mdns matron, miss beatrice mary williams

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 is a photograph taken from the painting by McCubbin of Lady Janet Clarke, a prominent Melbourne philanthropist who worked for social welfare issues and was a driving force in the early days of the Melbourne District Nursing Society. At the end of 1885 for her work with MDNS she was given a Testimonial Dinner where she was presented with a letter signed by 429 people expressing their thanks for her visits, kindness, sympathy and charity shown toward the sick poor. In 1887, at her home, she held the first function to raise money for the Society. Lady Janet Clarke was a generous and hospitable prominent socialite of Melbourne; a kind and sympathetic philanthropist who worked tirelessly for social welfare issues. The Melbourne District Nursing Society (MDNS) was founded on the 17th of February 1885 and on the 9th of April a Special General Meeting was held to elect the committee for the following twelve months. Lady Clarke was elected a Vice-president; a position she held until being appointed President, when Mrs. Simon resigned on the 7th of June 1887, a role Lady Clarke held until she became ill in 1908; except during her trips overseas, when the role was held by another until her return. Her management and organizational skills enabled MDNS to flourish in its earliest days. She was actively involved taking her turn on the Superintendent sub-committee where she accompanied a Trained nurse when she visited patients; checking that high quality nursing care was maintained, as well as observing the patient's social condition; even giving a personal donation to a special case in need. The patients of the Society were so grateful for her sympathy, kindness and love that when she and her husband, Sir William Clarke, were going overseas at the end of 1885, a Testimonial was given for her at Scots Church District-hall where 200 attended to show their appreciation of her work carried out with MDNS. She was presented with a Bible from them, and their letter signed by 429 working persons expressing their thanks. In a time of great financial need of the Society, Lady Clarke offered the ballroom at her home, 'Cliveden', for a monster Cake, Flower, and Dairy produce Fair which raised a substantial amount saving the Society from closure. She promoted the Society and led it in further fund-raising events, such as the annual Ball, and Fairs where she often manned cake stalls. Near Christmas each year she made a special appeal to the public for 'comfort and good cheer' which could be given to poor families visited by the Society. During the depression of 1890 she had thick soup prepared in the Cliveden kitchens and this was distributed, with bread, from her home, and from a school room, to hundreds of the poor. In 1892 Lady Clarke agreed to represent the Society during her visit to England. During her years of leadership MDNS expanded; Nurses uniforms were introduced; lectures - for example, on hygiene and on the prevention of sickness and the treatment of children, were given by doctors for the patients; further Trained nursing staff were employed; Midwifery was introduced to the poor, the Society extended beyond the city centre and bicycles were introduced for transport; a system for regular annual subscriptions was introduced and sufficient funds were raised for the Society to rent its own premises, with Lady Clarke paying for a subscription to Mullen's bookstore each year for the use of the Nurses in the Nurses Home. As well as her work for MDNS she held roles in many other organizations . She donated a substantial amount of money to build a Hostel for Women University Students attending Trinity College, later named the Janet Clarke Hall. Lady Janet Marion Clarke died at Cliveden, aged 57 years, on the 28th of April 1909; a lady held in high esteem and affection by all she knew.This is a black and white photograph of a painting of Lady Janet Clarke. She is looking forward and has a serious visage; she is wearing her long dark hair drawn up and back and in her left ear a small dropped ear ring can be seen. She is wearing a light coloured, long sleeved, floral frock with a material short cape section seen over the top of her left sleeve. Her left arm is crooked with her hand resting just under a flower brooch fastened in the centre of her frock. She has a choker around her neck with a brooch in the centre..Janet Lady Clarke, president 1889-1908.From the painting by McCubbin.melbourne district nursing society, mdns, rdns, royal district nursing service, lady janet clarke

Cream pith helmets were part of the uniform worn by Melbourne District Nursing Society (MDNS) Trained nurses (Nurses) from the early 1900s when giving nursing care to the sick poor of Melbourne. When riding their bicycles the helmet was held on by a long white scarf tied under the Nurse's chin. From its earliest years when Melbourne District Nursing Society (MDNS) Trained nurses, known as 'Nurse' in those days, began to wear uniforms the chosen colour was grey, though the style changed throughout the years as fashions changed from the late 1800s through to the 1970s. The Nurses firstly wore long grey frocks and a white cap with a long white tail hanging from the centre back. When bicycles were introduced in 1903 the headgear changed to a cream pith helmet adorned with a red Maltese cross in the centre front. This was held on with a veil going over the hat and tied under the chin. Over the years there were complaints that the veils became wet in the rain and they asked for a change of uniform, but this did not happen until 1921. The Nurses complained their skirts became wet when riding their bicycles in the rain and asked, when raining, to be able to wear breeches and gaiters. This was granted provided they wore aprons when attending patients. It was not long before the uniform changed to a shorter length grey frock, red cardigan, grey coat and grey brimmed hat; later changed to a peaked grey hat. In 1966 MDNS were granted Royal patronage. Now as Royal District Nursing Service (RDNS), the uniform was redesigned and colour changed in 1971. By 1972 the Sisters were wearing the new winter uniform of a blue/grey skivvie under a V neck tunic style frock made of blue/grey herringbone winter material with the RDNS insignia on the upper left, and a beret of the same material. In summer the uniform became a royal blue V neck tunic style frock, with the RDNS insignia on the upper left, worn over a short sleeve white blouse. A royal blue peaked hat with the RDNS insignia in the centre front was worn at first and then only worn on official occasions. This uniform was worn until changed to a corporate style in the mid 1980s,This hard cream coloured pith helmet has a 'pudding basin' shaped crown with 2 eyelets on both sides of it and a raised 'button' in the centre of the crown. This is encircled by a slightly sloping brim. A red cotton Maltese cross is emblazoned in the centre. The crown has a 66 cm circumference and is 12 cm deep; the raised central button is 3.5 cm x 3 cm; and the brim has a 101 cm circumference and is 5 cm deep.melbourne district nursing society, mdns, mdns uniforms, rdns, royal district nursing service

This hat is part of the uniform worn by all the Trained nurses (Sisters) of the Melbourne District Nursing Service, (MDNS), during the 1960s. The Sisters travelled around the inner and outer suburbs of Melbourne administering nursing care to patients in their homes. From its earliest years when Melbourne District Nursing Society (MDNS) began to wear uniforms the chosen colour was grey, though the style changed throughout the years as fashions changed from the late 1800s through to the 1970s. The Trained nurses firstly wore long grey frocks and a white cap with a long white tail hanging from the centre back. When bicycles were introduced the headgear changed to a white pith helmet adorned with a red Maltese cross in the centre front. This was held on with a veil going over the hat and tied under the chin. Over the years there were complaints that the veils became wet in the rain and they asked for a change of uniform, but this did not happen until 1921. The nurses complained their skirts became wet when riding their bicycles in the rain and asked, when raining, to be able to wear breeches and gaiters. This was granted provided they wore aprons when attending patients. It was not long before the uniform changed to a shorter length grey frock, red cardigan, grey coat and grey brimmed hat; later changed to a peaked grey hat. In 1966 MDNS were granted Royal patronage. Now as Royal District Nursing Service, RDNS, the uniform was redesigned and colour changed in 1971. By 1972 the Sisters were wearing the new winter uniform of a blue/grey skivvie under a V neck tunic style frock made of blue/grey herringbone winter material with the RDNS insignia on the upper left, and a beret of the same material. In summer the uniform became a royal blue V neck tunic style frock, with the RDNS insignia on the upper left, worn over a short sleeve white blouse. A royal blue peaked hat with the RDNS insignia in the centre front was worn at first and then only worn on official occasions. This uniform was worn until changed to a corporate style in the mid 1980s,A Melbourne District Nursing Service (MDNS) felt grey peaked hat, which has a deep crown and a flat top. Stitching comes from four corners of the crown at an angle to a grey band, which contains several rows of stitching, and surrounds the crown.. A stiff sloping grey brim, containing several rows of stitching, joins the band surrounding the crown, the rear of the brim is turned up and the front forms a peak. A cotton red Maltese cross is sewn to the centre front of the crown and band. A white with blue 'created by Effie Joy' label is attached to the inner hat band along with 'Size 22'. The crown is 9.5 cm deep and the brim is 5 cm deepmdns, melbourne district nursing service, mdns uniforms, rdns, royal district nursing service

Matron F. L. Gordon and the Sisters are standing in front of the Melbourne District Nursing Society (MDNS) Nurses Home at 39 Victoria Parade, Collingwood. The Nurses lived in this residence from 1914-1953. In 1926 the After-Care Home was built next door. This image was taken twelve months after the name of the Society changed from 'Melbourne District Nursing Society After Care 'Home' to 'Hospital'. The photograph shows the uniform of the District Division of the Melbourne District Nursing Society in the 1930s, with the uniform dress made of grey cotton. Their brimmed hat was made of felt with a cotton hat band with a red Maltese cross in the centre front. From its founding in 1885 until 1891 the Trained nurses, called 'Nurse' in those days, of the Melbourne District Nursing Society (MDNS) worked from their own homes which were located in the vicinity of their areas (districts). In November 1891 MDNS was able to rent a two story terraced house at 66 Cardigan Street, Carlton, at £65 a year, which contained accommodation for three Nurses and one pupil nurse as well as being used as their Headquarters. They left from their Nurses Home each morning and returned at the end of their shift to write up their book work before retiring for the day. Three years later, in 1894, they moved into a larger terraced house at 49 Drummond Street Carlton which was rented at ‘a very moderate rental’. There was a Board room, apartments for the Nurses and pupil nurse, a large dispensary which patients could attend each evening to have prescriptions signed and bottles refilled with ‘homely remedies’ and elixirs, which were administered for e.g. Consumptive cases. Doctor’s prescriptions were filled at the Pharmacy. Cupboards containing donated blankets and bedclothes for needy patients were kept in this room, and it was here where the Nurses kept their nursing bags which were refilled at the end of each shift ready for any emergency and for the next day. A list of Doctors the Nurses could call was kept by the telephone. The Home also had a kitchen where nourishing soup was made and distributed twice a week to the needy. Milk was also distributed when needed. In 1902 they moved into rented premises at 188 Leicester Street, Carlton and two years later, in 1904, to premises at 5 Royal Terrace, Nicholson Street, Fitzroy. They remained there for ten years and an Auction of furniture was held before their next move giving an idea of some of the contents: - Carpets, linoleum, walnut and oak sideboards, dining tables, walnut dining suite, Vienna chairs, walnut bedroom suite, cedar wardrobes, chests of drawers, duchess chests, bedsteads and bedding and general furnishings were for sale. In June 1914 at last the Society had sufficient funding to purchase their own terraced premises, ‘Floraston’ 39 Victoria Parade, Collingwood which became their Headquarters and Nurses Home. In 1926 the After-Care Home for recovering patients, (later called After-Care Hospital) was built by the Society next door, running from 41-47 Victoria Parade (became No. 45); the District Sisters continued to live at No. 39. In November 1953 the District Nursing Division moved into their new Headquarters and Nurses Home at 452 St. Kilda Road, Melbourne, with a change of name to Melbourne District Nursing Service in 1957. With Royal patronage, this changed to Royal District Nursing Service (RDNS) in 1966. As District expanded, and now with outlying districts to service and with a full fleet of District cars, Sisters lived in their own homes and visited their District Centre each morning to collect their work for the day and returned there at the end of their days work in the community to carry out their administrative work. The digital image shows Matron, Miss F.L. Gordon, wearing a white uniform and veil and a dark coloured cape standing amid a group of eleven District Trained nurses (Sisters), from the Melbourne District Nursing Society (MDNS). Two Sisters are to her left and the others to her right. They are standing in front of a grey building. The Sisters are wearing their uniforms of grey long coats with lapels; the coat is secured with a belt around the waist. This is worn over their grey uniforms, with white collars. Each Sister is wearing their uniform grey brimmed hat with a Maltese cross attached to the light hatband, and are carrying a square shaped nursing case. They are standing in two rows, with some on the veranda of the building and some in front on the path; two Sisters are just off the path amid the shrubs. Part of the grey concrete building can be seen behind the Sisters with the open door to the left and part of three long windows seen to its right. One Sister has her lower left arm resting on the veranda rail.'Miss F.L. Gordon, Matron, and some of the District Sisters'mdns, melbourne district nursing society, 39 victoria parade, collingwood, rdns, royal district nursing service, nurses home, miss f.l. gordon, mdns uniforms, mdns matron

This image shows two of the 'Melbourne District Nursing Society After Care Home' Sisters who worked in the After Care section of the Society during the 1930s. The image was taken on the balcony of the After Care Home at 39 Victoria Parade, Collingwood. It depicts the style of uniforms worn by trained nurses (Sisters) in that era. The Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Melbourne District Nursing Society (MDNS) built, then opened, the After-Care Home in 1926, (from 1934 called After-Care Hospital), for these patients, and patients from Melbourne Hospitals who required recuperation before returning to their home. Many children were nursed there, some long term during the Polio epidemic, and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own nursing staff and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. A trained Almoner was employed in 1934 but only stayed twelve months due to the amount of work required. Due to shortage of trained Almoners, a Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. In the 1950s the Hospital and Charities Commission decided to take over the After-Care Hospital, so the Melbourne District Nursing Society and After-Care Hospital separated and the Melbourne District Nursing Service was formed, setting up Headquarters at 452 St. Kilda Road. With Royal patronage the name changed in 1966 to Royal District Nursing Service (RDNS).Digital image of two Sisters from the Melbourne District Nursing Society (MDNS) After-Care Home standing on the balcony of their building. The Sister on the left hand side is wearing a dark cape over her white uniform; she wears a white veil over her dark hair. The Sister on the right hand side is wearing a long white apron over her grey uniform which has white cuffs on the sleeves. She is wearing a white veil over her dark hair. They are leaning on the scrolled metal rail of the balcony which runs along the grey building; part of which can be seen behind them.mdns, melbourne district nursing society, after- care hospital, after-care home, rdns, royal district nursing service, nurses uniforms

This photograph shows one of the aspects of nursing care given by Royal District Nursing Service (RDNS), Sisters who worked in the community. The Sister attending had received instructions for care of this toddler's wound from a Doctor. The Sister is using a dressing tray which was sterilized at the RDNS centre. At the time of this photograph many hospitals provided wound dressings for their patients when they returned home. If not attached to a hospital, the family bought their own dressings, though the Sister carried spare dressings in their cases if needed at the time of their visit. The Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885, provided wound care to their patients, who ranged in age from the very young to the elderly. As research developed better products and dressing materials the methods and medication applied to wounds changed. MDNS received Royal patronage in 1966 and as Royal District Nursing Service (RDNS), the Education department developed programs, such as Wound Care Programs, to provide their Trained nurses (Sisters)) with methods of best quality care. The Sisters liaised with the patient’s Doctors and hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctors. RDNS introduced Wound Care Specialists who carried out assessments and provided advice and support to the District Sisters working in the field. Black and white photograph showing a Royal District Nursing Service (RDNS) Sister, who has sort dark hair and is wearing a short sleeved white gown over her uniform; the sleeves of her grey uniform skivvie are seen. She is sitting side-on with her left hand resting on the right leg of a seated dark curly haired toddler; her right hand is on a bandage which is from ankle to thigh on the left leg of the toddler. The toddler is wearing a T-shirt with a pattern on the front, and is sitting on a floral cover in a room in her home. At the rear of the photograph a floral covered table is seen with an open dressing tray on a sterile drape; a small jar and bottle are seen on the table. rdns, royal district nursing service, mdns, melbourne district nursing society, rdns wound care

This photograph depicts a Royal District Nursing Service (RDNS) Sister (Sr.) visiting Mrs. Hodginson and babe in their home. Sr. Wan is weighing baby Tamara as part of the Post-Natal care she is giving. A nurse who is doing her Hospital training is visiting with the Sister and observing. RDNS had a Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres which visited early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Sr. Wan is wearing her RDNS summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock and a dark blue cardigan. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in a hospital 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 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 worked in DIMC also had their Infant Welfare Certificate, though Midwifery trained nurses also visited. On the right of the black and white photograph is Royal District Nursing Service (RDNS) DIMC Sister J. Wan, who has short dark curly hair and is wearing a white gown over her uniform, with the white collar and sleeves of her dark cardigan seen. She is laughing as she holds the top ring of hand held baby scales in her right hand; the bottom of the scale has a metal hook which has a sling attached to it with four cotton 'ropes'. Baby Tamara is supported in the sling which is just resting on a sheep skin and bunny rug covered metal framed change table. Sr. Wan has her left hand on the sling. To the left of the photograph is Tamara's smiling mother, Mrs. Lynda Hodginson, and in the centre of the photograph is observer Nurse Sheehan. Mrs. Hodginson is wearing a striped dress with a V neck, and has dark shoulder length hair. Nurse Sheehan has short dark hair and is wearing a white uniform and dark cardigan. A nursing watch is attached to the right hand side of her uniform. Part of a landscape picture can be seen on the wall behind her. A small white fluffy rabbit sits on the left hand side of the change table. Baby Tamara has sparse dark hair and is sucking on a dummy.Photographer's stampmdns, melbourne district nursing society, melbourne district nursing service, royal district nursing service, rdns, mdns midwifery, rdns domiciliary postnatal service, dimc, tamara hodginson, nurse sheehan, sister j. wan, mrs lynda hodginson

Royal District Nursing Service (RDNS), Sister Meisser is visiting Mrs. Lata to attend to the nursing care she requires in her home. She is greeting Mrs. Lata on her veranda and is observing her interaction with her dog. Sr. Meisser is wearing her RDNS uniform of a grey cotton short sleeve frock with a small white arched material logo with 'Royal District Nursing Service' in blue capital letters emblazoned on it, attached to the upper sleeve. She is wearing her grey peaked hat. This had a metal RDNS logo attached to the centre front. Sister Meisser worked from the RDNS Moorabbin centre.From its earliest years when the Trained nurses of the Melbourne District Nursing Society (MDNS) began to wear uniforms, the chosen colour was grey, though the style changed throughout the years as fashions changed from the late 1800s through to the 1970s. Their Trained nurses (Nurses) firstly wore long grey frocks and a white cap with a long white tail hanging from the centre back. When bicycles were introduced the headgear changed to a white pith helmet adorned with a red Maltese cross in the centre front. This was held on with a veil going over the hat and tied under the chin. Over the years there were complaints that the veils became wet in the rain and they asked for a change of uniform, but this did not happen until 1921. Later the Nurses complained their skirts became wet when riding their bicycles in the rain and asked, when raining, to be able to wear breeches and gaiters. This was granted provided they wore aprons when attending patients. It was not long before the uniform changed to a shorter length grey frock, red cardigan, grey coat and grey brimmed hat; later changed to a peaked grey hat. This uniform was used when MDNS was granted Royal patronage in 1966 and worn until 1971 when the uniform changed to a blue V necked frock over a short sleeve white blouse in summer and a blue/grey skivvie under a blue/grey herringbone V neck tunic style frock made of winter material in the cooler weather. Black and white photograph of Royal District Nursing Service (RDNS), Sister Meisser, of Moorabbin Centre. She is standing on the left of the photograph; has short dark hair and is wearing her grey uniform with peaked hat and black shoes, and is holding her rectangular nursing case. She is standing on the veranda of Mrs. Lata's brick home, and is smiling as she observes, to her right, Mrs. Lata, who has grey curly hair and is wearing a light coloured floral frock. Mrs. Lata is sitting in her wheelchair and with her left hand is patting her pale coloured Labrador dog who has a dark collar and is sitting to her right. Mrs. Lata is in front of her security door which has a white door frame. The house has a white lantern shaped light attached to the wall on the left hand side of the photographPhotographer's stamp and the word 'Publicity'royal district nursing service, rdns, rdns uniform, moorabbin centre, mrs lata, sister m. meisser

This photograph shows the Melbourne District Nursing Service (MDNS), Headquarter and Nursing Home at 452 St. Kilda Road, Melbourne. The cars in front of the building are part of the MDNS fleet of cars and are Australian built Holden vehicles of the 1960s. The MDNS Trained nurses (Sisters) seen are wearing their grey uniform coats and hats which had a red Maltese cross in the centre front. Under their coats the Sisters wore grey cotton frocks. The Melbourne District Nursing Service (MDNS) building at 452 St. Kilda Road, Melbourne was originally called 'Airlie Mansion', the childhood home of Stanley Melbourne Bruce, the Prime Minister of Australia 1923-1929. 452 St. Kilda Road, Melbourne is listed on the Victorian Heritage Register. 'Airlie' was used by Queen Victoria Memorial Hospital nurses as a Nurses Home prior to Melbourne District Nursing Service (MDNS), moving into this building as their Headquarters and Nursing Home in 1953. MDNS was given Royal patronage in 1966 and continued to occupy the building as Royal District Nursing Service (RDNS) until 1996. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu 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. Through constant use the cars were in such a poor state they were sold in 1927. 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 cars 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. Black and white photograph of two Melbourne District Nursing Service (MDNS) Holden vehicles parked outside MDNS Headquarters, which is seen in the background of the photograph. To the right is a MDNS Sister, who is wearing her grey peaked hat over her drawn back long hair. and is wearing her grey coat and carrying a square nursing case with the capital letters 'RDNS' written on it; she is standing side-on, looking to her left, and her right hand is on the door handle of the front door of the right hand car. To her left is another car, with a MDNS Sister standing on the grass behind the bonnet. She is wearing glasses and her uniform hat is worn over short dark hair. She is wearing a grey coat, scarf and both gloved hands are holding the handles of bags. On the drivers door of this car the words 'Melbourne District Nursing Service' are written in capital letters. On the far left hand side of the photograph, half of a third Holden vehicle is seen and a large tree is on the nature strip between this and the middle car. Behind the vehicles, bushes and a large tree can be seen on the left hand side behind the cast iron fence. Several other bushes and small trees are seen. In the background is MDNS Headquarters; a large white two storey Italian style building, which has three, roman column, arched Arcadia on either side of a polygon shaped bay window on the ground floor, and three long windows to the left and a three arched Arcade to the right on the second floor. Two Sisters in uniform are standing on the veranda of the 2nd floor between the far right hand arch. To the left and right of the building, parts of single storey hip roof buildings can be seen.melbourne district nursing service, mdns, rdns, royal district nursing service, rdns headquarters, rdns transport, mdns uniforms

This photograph depicts one of the forms of nursing care given by Melbourne District Nursing Service (MDNS), Sisters in the home of a patient. In this photograph, the Sister is visiting the home of a lady who is confined to a Negative Pressured Ventilator, also known as an 'Iron Lung', which assists her to breathe. The Sister gave both physical and emotional care to the patient, as well as support and advice to those who were caring for her.The Trained 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, Poliomyelistis, 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 Melbourne District Nursing Service (MDNS) Sister, who has short dark hair; is wearing a white gown over her uniform and her grey peaked hat with attached RDNS badge. She is attending to a female patient who is lying in a Negative Pressure Ventilator in her home. The Sister is standing behind the Negative Pressure Ventilator, known as an 'Iron Lung', with her left arm extended holding the lid open. The lady is in the foreground, and is lying with her head towards the left of the photograph. She has short dark hair and lies on the bed of the Ventilator with a neck ring visible. Her head is resting on a white covered pillow. Part of a dark coloured pleated curtain can be seen in the right hand side background of the photographPhotographer's stamprdns, royal district nursing service, patient care, mdns, melbourne district nursing service, mdns nursing care - negative pressure ventilator, 'iron lung'

This photograph depicts Post-Natal care being given by a Royal District Nursing Service (RDNS), Sister who is working in the RDNS Domiciliary Infant and Maternal Care (DIMC) section of the Service. The photograph is taken in the home of the mother and baby and the Sister is in the process of putting the baby onto the Baby scales to ascertain the babe's weight. Sisters employed in the DIMC section of RDNS gave Post-natal care to both the mother and her newly born babe when they were discharged early from hospital. This photograph was taken in the year following Melbourne District Nursing Service (MDNS) being granted Royal patronage in 1966 and becoming Royal District Nursing Service. The Sister is wearing the the same grey uniform frock used by MDNS but the badge on her peaked cap has changed from a red Maltese cross to a metal round silver badge with a royal blue circle around the edge with the words 'Royal District Nursing Service' in white capital letters running inside the blue circle.The centre of the badge is divided into three sections; a silver rising sun top and bottom, and a thick royal blue horizontal central strip with 'RDNS' written in large white capital letters. This uniform continued to be worn until 1971 when it changed colour and style. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who trained in a Hospital and was qualified 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 Sisters 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. Many Sisters working in this area had a Certificate in Infant Welfare as well as their General and Midwifery Certificates.In the right rear of this black and white photograph is a Royal District Nursing Service, (RDNS), Sister who is wearing a white gown over her uniform, and wearing her grey peaked hat with the RDNS badge visible, looking down at a baby she is about to weigh. The baby has sparse dark hair, is wearing a white singlet and is crying. The Baby scales, which are sitting on a table in front of the Sister, are white with a rectangular base and curved sided tray on the top. The Sister is standing behind the scales, and is supporting the babe's body with her right hand and holding baby's legs with her left hand as she lowers babe fully onto the scales. On the left of the photograph, the mother, who has long dark hair with a hair scarf holding it back, and is wearing a striped frock, is siting on a chair with her arms crossed at her waist, and is smiling at her babe as she observes proceedings.. Photographers Stampmdns, melbourne district nursing society, melbourne district nursing service, rdns, royal district nursing service, rdns domiciliary postnatal service, dimc

In 1964 Melbourne District Nursing Service (MDNS) commenced a Domiciliary Postnatal Service, later called Domiciliary Infant and Maternal.Care (DIMC), when Royal patronage was granted in 1966 (RDNS). The Sisters gave Post-natal care to the mother and babes and visited for support and advice as long as needed. The central RDNS badges on the Sisters hats is made of metal and has 'Royal District Nursing Service' written in the outside royal blue circle. The inner area is divided in three parts, the top and bottom sections are a silver rising sun and the central royal blue horizontal band has the letters 'RDNS' written white capital letters.In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was Hospital 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 Sisters working from a room at Footscray Hospital, and visiting early discharged Footscray Hospital maternity cases at home. Later, 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. Many of the RDNS Sisters who did DIMC had their Triple Certificate (Infant Welfare), though Midwifery trained nurses also visited. Black and white photograph showing two Royal District Nursing Service, (RDNS), Postnatal Service Sisters visiting a mother and her triplets in their home. Both Sisters and the mother are smiling and sitting on a dark coloured couch with each holding one of the babes who are wrapped in light coloured bunny rugs. The Sister on the left is wearing a white gown, with the grey peaks of her uniform showing; her nursing badge is attached to the right hand peak of her uniform. She is wearing her grey peaked hat, with central attached RDNS badge, over her short dark curled hair. To her right is the mother, who has short straight dark hair, and is wearing a white blouse and dark tartan skirt. On the far right is Sister Barbara Weisart, wearing a white gown; with the grey peaks of her uniform showing, and wearing her grey peaked hat with central RDNS badge over her short dark straight hair. A set of white baby scales are seen to her rightPhotographers Stamp. Quote No. GE 13mdns, melbourne district nursing society, melbourne district nursing service, royal district nursing service, rdns, rdns domiciliary postnatal service, dimc, sister barbara weisart