RDNS Sister, Betty. McDonald, is about to enter the home of a patient to administer nursing care.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 of Royal District Nursing Service, (RDNS), Sister B. McDonald, who is wearing her grey uniform coat, with RDNS insignia on the upper sleeve, and her peaked grey hat over her dark short hair. She is holding her rectangular nursing case in her left hand. Her right arm is through the long handles of a black bag which is hanging under it, and her hand is on the top of the gate; Number '39' is attached to the top of the gate post. A tall broken paling fence, with many gaps between the palings, can be seen running along the edge of the footpath to the left and right of the gate. The fence is leaning over in places. Bushes can be seen behind the fence and part of a white building is seen in the background.Photographers stamp. Quote No. GE 5rdns, royal district nursing service, rdns uniform, rdns patient care, sister betty mcdonald

Sister McDonald is visiting a patient in her home to administer nursing care. 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 of Royal District Nursing Sister, (RDNS), Sister B. McDonald, wearing her grey uniform coat, and her grey peaked hat over her dark short hair and is carrying her rectangular nursing case in her left hand. She is standing on the wooden veranda between the open wire door and the house; her right hand is knocking on the main door of a patient's home. Behind her, an electricity meter can be seen on the wall of the house behind the wire door. The door of the house sits near the corner of the horizontal weatherboard house, whose weatherboards can be seen to the left and right of Sister McDonald. Part of a fluted veranda post can be seen to the right of the photograph and two sheets of corrugated iron can be seen in the foreground.Photographers stamp. 'Quote No. GE 55rdns, royal district nursing service, rdns uniform, rdns patient care, sister betty mcdonald

Sister Short is writing down information being given by patient Sue Rowley who will be discharged from the Hospital. It will be phoned through to the appropriate RDNS Centre where it is recorded by the Clerical staff and passed to the RDNS Sister who will visit Sue on her discharge. Liaison had occurred between Doctors and the Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in 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), nursing staff, 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 clients, co-ordinated discharge and booked the first visit by the visiting RDNS staff. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters in the field and Doctors when patients were referred by General Practitioners and did not attend a hospital. A Physiotherapist worked under contract to teach transfer techniques to RDNS Sisters before RDNS employed there own Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family members. The Physiotherapist made home visits with the attending RDNS Sister when required.Standing to the left of the black and white photograph is hospital Physiotherapist, Anne Radford, who has short dark hair and is wearing a white coat. She is side on and has her hands placed on the upper and lower right arm of Sue Rowley, who is sitting in a wheelchair. Sue has short dark hair and is wearing a neck brace and her left hand is holding a pulley rope. She is wearing a white top under a dark jacket and light coloured slacks. To her right is Royal District Nursing Service (RDNS), Liaison Sister, Margaret Short who is facing Sue. She has her left hand extended supporting an open book and has a pen in her right hand which is poised on a page in the book. Sister Short is wearing her RDNS grey short sleeve uniform dress and grey peaked hat over her short dark hair. The RDNS insignia is seen on the top of her left sleeve. Behind the wheelchair are some wooden bars, two upright and two vertical, which are attached to a brick wall, the pulley rope is through a wheel attached to the right hand upright. The brick wall joins another which has part of a window visible. Behind the Sister and wheelchair are four shelves attached to this brick wall. Several round weights are on the shelves.Photographer stamp. Hand written informationroyal district nursing service, rdns, rdns liaison, rdns uniform, ms sue rowley, physiotherapist anne radford, sister margaret short

The RDNS Sister is about to leave to visit patients in their homes in the community to administer nursing care as advised by a Doctor. The RDNS insignia on the door of the car is a round badge with a royal blue circle around the edge with the words "Royal District Nursing Service" in white, and the centre section is in three parts ,with the upper and lower sections white, and a royal blue centre strip with the large white capital letters "RDNS".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 woman Chauffeur, 'Miss Sword', was employed who lived in the Home and was also in charge of the garage. MDNS was expanding and a Motor Auxiliary was formed in 1929 to take the Trained nurses (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 a Royal District Nursing Service (RDNS) Sister about to enter one of the new light grey 2 door Holden Torana RDNS cars. The Sister, who is smiling, is wearing her uniform grey peaked hat over her long dark hair which is drawn back. She is wearing her long grey coat with the RDNS insignia on the upper sleeve and is holding the partly opened driver side door of the car with her left hand. She is holding the handle on the top of her rectangular black nursing case with her right hand. To the right, the grill and black number plate, with the white writing displaying "KXF 024", can be seen. The round RDNS insignia is on the upper centre of the car door. The car is the same width all over, has a flat bonnet which joins a sloping windscreen adjoining a flat roof which runs along and joins a short back window running down to a boot. A black tyred wheel can be seen under wheel arches at the front and near the rear of the vehicle. In the background to the left is a mid size bare tree; behind this portions of several parked cars and behind them a multi storey building with the Written words "Rioby House". To its right and directly behind the car is a mid size bare tree and behind that the end view of a brick building with a hip roof. Barry Sutton Photographer. Quote KL 52rdns transport, rdns uniform, royal district nursing service, rdns

This photograph shows Royal District Nursing Service (RDNS) Sister Meissen observing Mrs Lata as she transferred from her wheelchair onto a shower chair in the bathroom at her home. Sr. Meissen is based at the RDNS Moorabbin Centre. Patients were taught, and then supervised, by RDNS visiting Sisters in the use of safe transferring techniques. From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as the Royal District Nursing Service (RDNS), from 1966, their Trained nurses cared for patients in their own homes who required to be taught safe transferring techniques, e.g. from bed to wheelchair or from chair to walking frame etc. Their family members also needed to learn safe transferring techniques to enable them to care for their loved ones. RDNS employed a Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family members. Sisters carried out General Care to those patients unable to care to their own hygiene safely, and, working towards independence where possible, the Sisters taught them safe transferring techniques using equipment such rails, shower seats, and hand showers.On the right of this black and white photograph is Royal District Nursing Service (RDNS) Sister Meissen standing and observing Mrs. Lata in the bathroom of her home. Sr. Meissen has short dark hair; is wearing a white gown over her uniform and wears a grey peaked uniform hat. She has a towel draped over her left arm, and is smiling at Mrs. Lata who is on her left and is sitting on a shower chair. Mrs. Lata, who is wearing a light coloured nightgown with flower motifs, is smiling up at Sr. Meissen and has her right arm raised with her hand gripping a rope pulley. Part of a wheelchair with the left arm removed is seen in the foreground; the seat of the chair is in line with the seat of the shower chair. A hand shower, taps and glass screen can be seen in the background of the photograph.rdns, royal district nursing service, rdns uniform, patient care, moorabbin centre, sister m. meissen, mrs lata

Mr. John Rossiter is the Minister of Health of Victoria. The RDNS Sisters are wearing their uniforms of grey dresses, red cardigans and grey peaked hats. The RDNS badge on their hats are made of metal with a royal blue circle containing the letters "Royal District Nursing Service". The inner section is divided in three parts; the upper and lower sections are silver and the centre section has the capital letters RDNS written in royal blue across it.Black and white photograph showing seven Royal District Nursing (RDNS) Sisters, four only partially seen, walking along a footpath with Mr. John Rossiter. Mr. Rossiter, who is in the centre of the photograph and group, has balding dark hair and is wearing a white shirt, striped tie, and a dark striped suit with a white flower in the button hole on his left lapel; a corner of a white handkerchief is seen in the left pocket of his jacket. The full view of three RDNS Sisters can be seen wearing their uniforms of a grey frock and dark cardigan and grey peaked hats with a round badge in the centre. In the background are some cars on the road, lamp posts and some trees. A white fence and a brick house with a tiled pitched roof is seen in the right hand side background.Photographers stamp. Quote No. KG 48royal district nursing service, rdns, rdns uniform, mr john rossiter

This group and RDNS Sisters are at a meeting at Fawkner Park Community Centre and are listening to the lady on the left who is pointing out information to them.. 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 and Community Centres would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS) Trained nurses (Sisters), but also for the patients of RDNS and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from Hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital. District Sisters also liaised with personnel attached to Community Centres.This black and white photograph is of a group of two men and five ladies, three of whom are Royal District Nursing (RDNS), Sisters, sitting at a large dark wooden table which has an open folder and papers with diagrams or information on them, Notepads and pens sit in front of several. L-R is a partly hidden man who has short dark hair; wears glasses, a dark suit over a white shirt and dark tie. His left hand is up to his face. Next is another man with short dark hair who wears glasses; has a grey suit, white shirt and patterned tie. His right hand is up to his face. Next is a lady with short curled hair who is wearing a dark patterned and white edged vest over a round neck grey jumper. She is looking at, and holding a pen in her right hand poised over, a sheet of paper with columns and writing on it. Next is an RDNS Sister with collar length dark curled hair, who has her left hand up to the side of her face. Then an RDNS Sister with short straight hair. Next is a lady with her dark hair drawn back and wearing a white jumper; she has her hands up to her chin. Next, and far right, is an RDNS Sister, who has short straight blonde hair and has a pen in her right hand. Her left hand, with a dark watch at the wrist, is up to the side of her face. The group are all looking at the columned information sheet which the lady on the left is pointing out with her pen. The RDNS Sisters are wearing light grey skivvies under dark grey V neck tunic style frocks.Barry Sutton LO 40royal district nursing service, rdns, rdns liaison, rdns uniform

The photograph is taken at Western General Hospital. Royal District Nursing Service (RDNS) Nurse Educator, Sister Nan Deakin, after teaching the RDNS Community Nursing Education program to the Western General's two Student nurses is introducing them to Sister Ellen Anderson, Supervisor of the RDNS Footscray Centre. Sr. Anderson will arrange for the Students to go on District nursing visits with RDNS Trained nurses (Sisters) from Footscray Centre who administer nursing care in the community. Sister Deakin is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style frock made of herringbone winter material. Sister Anderson is wearing the RDNS summer uniform of a white short sleeve blouse under a royal blue V neck tunic style frock. The RDNS logo is seen on the upper left on both uniforms.During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures Students went to an RDNS Centre and each Student accompanied a Trained nurse (Sister) for a week observing and gaining knowledge of all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced after discharge from hospital. During 1971 there were 584 student nurses who received field experience with RDNS. From its inception as Melbourne District Nursing Society (MDNS), in 1885, their Trained nurses (Nurses) worked in specific areas, 'districts'. The first Nurse worked east and west, between Victoria Parade and Flinders Street and, north and south, between Spencer Street and Spring Street. When a second Nurse was employed they divided this area at Elizabeth Street so each Nurse could attend to patients in the same area giving continuity of care. As the Society expanded, becoming Melbourne District Nursing Service, then, with Royal patronage, Royal District Nursing Service (RDNS) many Centres were opened throughout the Melbourne Metropolitan area and outer suburbs. The District nurse's areas (districts) grew and were divided within Shire boundaries for e.g. Knox 1, Knox 2, Knox 3, Knox 4, within the area of the Shire of Knox. A map covering the Centre’s Districts was attached to a wall, and its different colour pins identified streets where patients lived who were currently receiving nursing care from the RDNS Trained nurses (Sisters) working in these areas (districts).On the far left of this black and white photograph is a male Student nurse, who has collar length, straight dark hair. He is wearing his hospital uniform of white trousers and top. To his right, is a Student nurse who is wearing her white nursing cap, with motif in the centre front, over her long drawn back dark hair. and her short sleeve uniform checked frock, with white two breasted buttons down it, and with white collar and cuffs. A nursing watch is attached to its upper left. Both are standing in the dark framed doorway of a room and are looking to the right and smiling at Royal District Nursing Service (RDNS), Nurse Educator, Sister Nan Deakin. She has short dark hair; is wearing glasses, and is wearing her RDNS uniform of a light grey skivvie under a darker V neck tunic style frock. To the right of her, is RDNS Sister Ellen Anderson who has short curly dark hair and is wearing her RDNS uniform of a white short sleeve blouse, under a dark V neck tunic style frock. They are standing side-on facing the Students. Barry Sutton MA 78royal district nursing service, rdns, rdns education, western general hospital students, sister nan deakin, sister ellen anderson

Sr. Tarn is based at the RDNS Heidelberg Centre and is wearing her RDNS uniform of a royal blue V neck tunic style frock over a white short sleeve blouse, and her uniform royal blue peaked cap with the central attached RDNS insignia. The photograph is taken at two year old Lynette Singh's home. Gradually over the years, Melbourne District Nursing Service (MDNS), later known as Royal District Nursing Service (RDNS) from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area and outer suburbs with Heidelberg Centre opening in 1971. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area (district), taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for re-sterilization, and contact other medical and community personal as necessary. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care their Trained nurses (Sisters) provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of Sister (Sr.) Joan Tarn of Royal District Nursing Service (RDNS), holding little Lynette Singh in her arms. On the left of the photograph is the upper view of Sr. Tarn who is slightly turned to her left, and has her left arm under Lynette supporting her, and her right hand is on the upper area of Lynette's left arm . She is smiling as she holds Lynette who has a round visage; is looking to her left and her dark curled hair is against Sr. Tarn's left cheek; her left arm is extended over Sr. Tarn's right shoulder. She is wearing a frock with a white background and dark poker dot top section and a darker patterned skirt. Sr. Tarn is wearing her RDNS uniform of a dark V neck tunic style frock over a white short sleeve blouse. Her uniform peaked cap with the central RDNS insignia is worn over her dark curled short hair. In the background the weatherboards of Lynette's home can be seen with a short curtain covering part of a window.Photographer stamp. Quote No. LF 88royal district nursing service, rdns, sister joan tarn, lynette singh

The RDNS Sister is visiting a lady in her own home to take and record her blood pressure reading. The Sister will assess if these readings are within normal limits and relay these readings to the lady's Doctor as necessary. The RDNS uniform worn by the Sister is a white short sleeve blouse under a royal blue V neck tunic style dress and a dark blue cardigan. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the RDNS Trained nurses (Sisters) provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.A black and white photograph showing on the left, a Royal District Nursing Service (RDNS), Sister who has short dark curly hair and who has the ends of a stethoscope in her ears and with her left hand holding the other end below the blood pressure cuff on an elderly lady's extended right arm.. She is looking down at the blood pressure dial which is held in her right hand. The Sister is wearing her RDNS uniform of a white blouse, the peaked collar of which can be seen, under a darker V neck tunic style frock and a dark cardigan. The lady who has short grey curly hair, is watching the procedure. She is wearing a grey short sleeved frock with a broach at its neck and with dark long sleeves seen underneath. The lady is sitting in a patterned padded chair which has a carved wooden top. Long opened curtains with voile curtain in the centre can be see behind her. In the left background, part of a cabinet with ornaments can be seen, and in the left foreground part of a patterned lounge chair can be seen.royal district nursing service, rdns, rdns patient care - blood pressure check

Sister Rignall is undergoing In-service education at RDNS and is wearing the grey RDNS uniform of that era.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 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 nurses receiving In-service education. Sr. 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 trained nurses 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. Black and white photograph showing Royal District Nursing Service (RDNS), Sister J. Rignall using the Library facilities at RDNS. Sister Rignall has short curly hair and is wearing her short sleeve grey uniform frock; the RDNS insignia is seen at the top of her left sleeve. She is standing and looking down at a book she is holding. Shelves of library books are seen running behind her on her left hand side.Photographers Stamp and Quote No. GW 94melbourne district nursing society, mdns, royal district nursing service, rdns, rdns education, rdns library, sister j. rignall

Sister Ellen Anderson is the Supervisor of the Royal District Nursing Service, (RDNS) Footscray Centre. She is wearing her RDNS uniform of a short sleeve white blouse under a royal blue V neck tunic style dress. Sr. Anderson is showing two Student nurses from Western General Hospital the map with the areas covered by Footscray Centre. The map had different colour pins to identify streets where patients lived who were currently receiving nursing care from RDNS Sisters working in these areas (districts).During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures Students went to a RDNS Centre and each Student accompanied a Trained nurse (Sister) for a week observing and gaining knowledge of all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced after discharge from hospital. During 1971 there were 584 Student nurses who received field experience with RDNS. From its inception as Melbourne District Nursing Society (MDNS), in 1885, their Trained nurses (Nurses) worked in specific areas, 'districts'. The first Nurse worked east and west, between Victoria Parade and Flinders Street and, north and south, between Spencer Street and Spring Street. When a second Nurse was employed they divided this area at Elizabeth Street so each Nurse could attend to patients in the same area giving continuity of care. As the Society expanded, becoming Melbourne District Nursing Service, then, with Royal patronage, Royal District Nursing Service (RDNS) many Centres were opened throughout the Melbourne Metropolitan area and outer suburbs. The District nurse's areas (districts) grew and were divided within Shire boundaries for e.g. Knox 1, Knox 2, Knox 3, Knox 4, within the area of the Shire of Knox. A map covering the Centre’s Districts was attached to a wall, and its different colour pins identified streets where patients lived who were currently receiving nursing care from the RDNS Trained nurses (Sisters) working in these areas (districts).On the left of this black and white photograph is Royal District Nursing Service (RDNS), Sister Ellen Anderson, who has short dark curly hair and is wearing her RDNS uniform of a short sleeve white blouse under a dark V neck tunic style frock. She is standing side-on, towards the right of the photograph, and with her left hand is pointing to an area on a large map attached to the wall in the background. To her right, is a Student nurse who is facing Sr. Anderson, and looking at the area on the map. Under her white nurses cap, she has her long dark hair drawn back, and is wearing her hospital uniform of a short sleeve checked dress with white collar and cuffs; a nursing watch is attached to its upper left; her hands are clasped in front of her. To her right, is a male Student nurse who has collar length straight dark hair, and is wearing white trousers and a short sleeve white top with pens in the left upper pocket. He is looking at the areas on the map.. Barry Sutton MA 77 informationroyal district nursing service, rdns, rdns education, rdns centre, rdns district map, sister ellen anderson

Sister Pat (Paddy) Rowley, is the RDNS Principal Nurse Educator and she is instructing Sr. Margaret Affleck during an Education session. Both Sisters are wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style frock made of herringbone winter material. The RDNS insignia is on the upper left of the tunic. 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), 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. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the 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. At RDNS many programs were run, 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 patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients 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 obtained a Post Basic Certificate 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 RDNS Sisters. Standing on the left of the black and white photograph is Royal District Nursing Service (RDNS) Sister (Sr.) Pat (Paddy) Rowley, who is wearing dark rimmed glasses and has short dark hair. She is leaning forward with her right hand resting on a table and, with her left hand, is pointing to a passage in a white paged book which is open on the table in front of Sr. Affleck who is seated. Sr. Affleck has short dark curled hair and is looking up at Sr. Rowley. Both Sisters are wearing the RDNS uniform of a light grey skivvie under a darker grey V neck tunic style frock. The RDNS insignia is on the upper left of the tunic. In the background dark shelving and books can be seen.Photographer stamp. Quote LD 6melbourne district nursing society, mdns, royal district nursing service, rdns, rdns education, sister pat (paddy) rowley, sister margaret affleck

Sr. Pat (Paddy) Rowley is the Principal Nurse Educator at RDNS and is giving a lecture to RDNS Sisters in the Education Department at 452 St. Kilda Rd, Melbourne. She is wearing the RDNS summer uniform of a white short sleeve blouse under a royal blue V neck tunic style frock with the RDNS insignia on the 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), 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 Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the 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. At RDNS many programs were run, 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 Sisters attended several hospitals to observe and learn special care needed to some patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients 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 obtained a Post Basic Certificate 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 Sisters. This black and white photograph shows Royal District Nursing Service (RDNS) Sister Pat (Paddy) Rowley and seventeen (some partly hidden), Royal District Nursing Service (RDNS) Sisters. The bulk of the photograph shows the front view of three rows of RDNS Sisters sitting at tables which have books and sheets of paper on them. The Sisters are wearing a variety of day clothes. In the right foreground of the Photograph is a table containing papers, and standing to its right, facing the group, is the back view of Sr. Rowley, who has short dark hair and glasses. She has her left hand on a sheet of paper on the table. She is wearing her RDNS uniform of a white short sleeve blouse under a dark tunic style frock. In the rear of the photograph a brick fireplace can be seen with some books and a vase of flowers on the mantelpiece. On the right is a long curtain, some lockers and an open wooden door with glass panel. Some of the Sisters named are:- Ann Greenwood, Judy Peter, Ethel Fullarton, Barbara Lovell, Shirley Lewis, Jane Ball..Barry Sutton Stamp. Quote LY 68royal district nursing service (1966-2017), rdns, rdns education, sister ethel fullerton, sister barbara lovell, sister shirley lewis, sister jane ball, sister pat (paddy) rowley, sister ann greenwood, sister judy peter

These student nurses are doing their Nursing training at the Western General Hospital and are being given a lecture by RDNS Nurse Educator, Sister Hengstberger, during their Community Nursing Education Program with RDNS. The photograph is taken at the RDNS Education Department at 448 St. Kilda Road. Sister Hengstberger is wearing her RDNS winter uniform of a blue/grey skivvy worn under a blue/grey herringbone V necked winter weight tunic style dress. During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures, Students went to a RDNS Centre and each student accompanied a Registered nurse (Sister) for a week observing and gaining knowledge of all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced after discharge from hospital. During 1971 there were 584 student nurses who received field experience with RDNS.Black and white photograph showing Royal District Nursing Service (RDNS), Sister Cecily Hengstberger, who is wearing glasses and has short dark hair, instructing a group of student nurses. Sister Hengstberger is standing facing the group and is wearing her RDNS uniform of a dark V necked tunic style dress over a lighter colour skivvie. The RDNS logo is emblazoned on the upper left hand side of the tunic. She is standing in the centre rear of the photograph, facing the students, and is holding a piece of white paper in her hands. From the foreground of the photograph, the backs of several rows of nurses, wearing a variety of day wear, can be seen seated at small, metal framed, dark wooden top individual tables. The tables have sheets of paper and pens on them. In the left background of the photograph stands a small blackboard; above this is wall clock, and to its right a large blackboard is.attached to the wall.Photographer stamp. DR 17mdns, melbourne district nursing society, royal district nursing service, rdns, rdns education, sister cecily hengstberger

The RDNS Sister is visiting the gentleman in his home and has dressed the wounds on his toe. The dressings applied have been ordered by a Doctor. Under her gown, the Sister is wearing her RDNS winter uniform of a blue/grey skivvie under a tunic style frock made of blue/grey herringbone winter materialFrom its inception in 1885 the Trained nurses (Nurses) of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care. When sterilized dressing trays were used for the first visit, and if applicable, the Sister demonstrated how to sterilize a 'home set up', using the washed forceps from the tray and using a clean cup and plate, making sure there were no chips or cracks, which were to be used to hold lotion and dressings at the time of future visits. They were given written instructions in how to sterilize this equipment in a saucepan on the stove prior to the next RDNS visit. Patients bought their own dressings, if not supplied by a hospital, and the attending Sister demonstrated how to sterilize these in the oven, using a casserole dish as a receptacle. Clear written instructions were left with the patient.Black and white photograph showing a Sister from the Royal District Nursing Service (RDNS), giving specific care to the feet of a gentleman. The RDNS Sister has shoulder length dark hair and is wearing a white gown over her RDNS uniform. The gentleman has balding dark hair and is wearing a dark dressing gown over his pyjamas. He is seated in a recliner chair in his lounge room and has his legs extended with his feet resting on the recliner foot. He has a slipper on his right foot and nothing on his left foot. The Sister is sitting on a stool to the right of him him with equipment, a cup, saucer and forceps and a casserole dish containing dressings, on a tray in front of her on a small square wood and cane stool. She has her right hand on the gentleman's left foot and pieces of dressing material can be seen around three of his toes. There is a patterned rug, under the recliner chair, sitting on top of the carpet. To the left of the chair part of a brick fireplace can be seen. Two windows with open short patterned curtains can be seen in the background. In the right foreground, part of a white and floral tablecloth can be seen hanging over a low table.Photographer stamp. Quote No. DN 86royal district nursing service, rdns patient care, rdns wound care

Sister Prentice is visiting Mrs. Morgan in her home and is applying a lotion around the outside of Mrs. Morgan's leg ulcer. Following this application Sr. Prentice dressed the wound with the dressing material as ordered by Mrs. Morgan's Doctor. Under her gown, Sister Prentice is wearing the RDNS winter uniform introduced in 1971, which was a grey/blue skivy under a blue/grey herringbone woollen V neck tunic.From its inception in 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) provided wound care to their patients, who ranged in age from the very young to the elderly. The methods and medication applied to wounds changed as research developed better products. MDNS received Royal patronage in 1966 and as Royal District Nursing Service (RDNS), the Education department developed programs, such as the Leg Ulcer Management Program, 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 did assessments and provided advice and support to the District Sisters working in the field. On the right of the black and white photograph is Royal District Nursing Service (RDNS), Sister Cheryl Prentice, who has dark shoulder length hair and is wearing a white gown over her RDNS uniform, the sleeves of which are seen. On her left Mrs. Morgan is sitting propped against a pillow at the top of her bed and has her knees slightly bent with legs extended. Sr. Prentice, who is looking at her right hand, is holding a small open bottle in her left hand and has her right arm extended across Mrs. Morgan's legs, with the fingers of her hand touching the skin on the far side of an open ulcer wound on the right leg of Mrs. Morgan. Mrs. Morgan, who has short light coloured hair, is wearing a cardigan over her floral frock, is looking at the procedure. The bedhead has fine turned wooden slats and the bed coverings are a checked rug and chenile bedspread with a floral towel under Mrs. Morgan's legs.. Photographer stamp. Quote No. DN 77 Handwritten informationroyal district nursing service, rdns, rdns wound care, mrs morgan, sister cheryl prentice

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

General and Midwifery trained RDNS Sister Kaye Pilmore is supervising a Mother feeding her new born infant in their home. Sister Pilmore is wearing her RDNS summer uniform, which was a royal blue V neck tunic style dress, with the RDNS badge emblazoned on the upper left, worn over a short sleeve white blouse. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a days. 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 on the ground floor in the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as the 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 the DIMC section also had their Triple Certificate in Infant Welfare, though double certificate Midwifery trained nurses also made DIMC visits. Black and white photograph showing a Royal District Nursing Service (RDNS), Sister sitting to the left of a mother who is holding her babe whilst she feeds her with a bottle. The Sister has short straight dark hair and is wearing her RDNS uniform of a dark V neck tunic style dress, with the RDNS badge emblazoned on the upper left, over a short sleeve white blouse. She is turned towards the babe and mother and is holding a sheet of white paper in her right hand and her left hand is supporting the end of the glass feeding bottle. The mother, who has long dark hair and is wearing glasses, and a grey long sleeve top and darker coloured slacks, has her baby across her knees with her left arm bent at the elbow and her arm and hand supporting her baby's head and neck. She is holding the feeding bottle with her right hand and the teat of the bottle is in the baby's mouth. The babe has sparse dark hair and is wrapped in a white bunny rug. They are sitting on a dark coloured couch with check cushions on the seat. A small low table is to the right of the couch against the wall. Patterned wallpaper can be seen on the wall behind the couch and table.Photographer stamp.Quote No. EA 35melbourne district nursing society, mdns, royal district nursing service, rdns, mdns midwifery, dimc, mdns post-natal care, rdns dimc, sister kaye pilmore

The Sister is supporting the elderly lady as she takes her for a walk on her veranda. The RDNS winter uniform at that time was a blue/grey skivvie worn under a V neck, tunic style, blue/grey herringbone winter material frock. The RDNS insignia is on the upper left of the frock.From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by their Trained nurses (Sisters). As well as teaching and supervising the use of equipment, the Sisters taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. In the 1970s RDNS employed a Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family membersOn the left of the black and white photograph is a Royal District Nursing Service (RDNS), Sister, who has short dark curly hair and is wearing her RDNS winter uniform of a light coloured skivvie under a V neck tunic style frock, standing with an elderly lady on the wooden veranda of her home. The lady, who has short white hair, is wearing a dark buttoned up cardigan over a floral frock, The lady has her right arm hooked through the left arm of the Sister, who is clasping the ladies hand. The Sister is looking to the left at the lady, and the lady is looking to the front. The weatherboard wall of her house is seen in the background. Part of a chair and small table are on the far front left of the photograph.Type written informationroyal district nursing service, rdns, rdns rehabilitation

RDNS Home Health Aide, Dorothy Byrne, is visiting Mrs. Mann in her home and is assisting her with General care which enables her to remain there independently. Dorothy is wearing an RDNS light blue, with dark blue edging, apron over her RDNS Home Health Aide uniform of a royal blue dress with white piping on the collar and pockets. 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 RDNS Principal Nurse Educator. Pat (Paddy) Rowley was evaluated as successful. Following this Pilot study, Home Health Aides were employed by RDNS, and after instruction in the RDNS Education department, joined RDNS Centres and worked under the supervision of the RDNS Sisters. The Sister assessed each client, then introduced and supervised the Health Aide in the client procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aid followed each visit. If the Health Aide noticed any change in the patient’s condition, this was reported immediately and the Sister visited. The Sister made routine visits to the patient for review at least monthly. On the left of the black and white photograph is the side on view of Royal District Nursing Service (RDNS), Home Health Aide, Dorothy Byrne, brushing the long grey hair of Mrs. Gertrude Mann who is on Dorothy's right. Dorothy, who has short curly hair, is wearing a light coloured apron over her RDNS uniform; part of a white skivvie under her dark dress can be seen; she has her left hand on the top section of Mrs. Mann's head. Dorothy's right hand is holding a brush and is at the bottom section of Mrs. Mann's hair. Mrs Mann is wearing a white nightdress and is sitting on the left hand side of her bed with her face turned away from Dorothy.. Long,closed flower patterned curtains can be seen in the background.royal district nursing service, rdns, rdns home health aides, rdns patient care, rdns home health aide dorothy byrne, mrs gertrude mann

This photograph is taken in the Physiotherapy Department at Mount Royal Rehabilitation Hospital. The Physiotherapist is giving an Education session to RDNS Sisters. The Sisters are wearing the RDNS winter uniform, which was a blue/grey herringbone winter material V neck tunic style frock over a blue/grey skivvie. Sr. Peter is wearing the uniform beret style hat which was made of the herringbone winter material. Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal 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. Sr. 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 showing Royal District Nursing Service (RDNS), Sisters observing in a Physiotherapy Department. Left to right - Sisters Judy Peter, who is wearing her uniform beret over her light coloured curly hair, and kneeling and leaning over, with her right hand resting on a white pillow which is on a large thick mat. Next is Sr. Sue Revill, who has dark shoulder length curled hair and is kneeling behind a lady who is lying on her left side on a the mat which is on the floor. She has her head on a white pillow and facing frontward. She has light coloured curled hair and is wearing a dark grey long sleeve top. Next is the Physiotherapist, who has long dark hair drawn back in a pony tail and is wearing a dark cardigan over a white blouse and grey frock. She is kneeling on the mat with her hands on the lady's side. Sister Helen Watt, who has collar length curled hair is kneeling to her right and is holding the lady's outstretched right arm and hand and looking toward the Physiotherapist. The Sisters are wearing the RDNS uniform of a light grey skivvie under a V neck tunic style dress with the RDNS insignia on the upper left. In the background are some some vertical bars attached to the wall and part of a pillow can be seen in front of these on the large mat. On the right of the photograph is a heater and above this windows are seen. Photographer stamp. Quote No. KY 82royal district nursing service, rdns, rdns education, sister judy peter, sister sue revill, sister helen watt

The RDNS Sisters are named in the photograph, L-R - Sister Megan Margaret Day who works in the Domiciliary Infant Maternal Care (DIMC) section of RDNS. The next Sister's name is unknown, and on the right is Sister Ruth Eileen McKeon who is a Nurse Educator with RDNS. The photograph is taken in the Education Department of Royal District Nursing Service, and the two Sisters are receiving instruction on the function of the organs of the human body from Sister McKeon. The Sisters are wearing the RDNS summer uniform of a white short sleeve blouse under a royal blue V neck tunic style frock. 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), 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 Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the 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. At RDNS many programs were run, 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 patients at home, and to Mount Royal Hospital to observe the care of patients 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 obtained a Post Basic Certificate 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 Sisters. On the left of this black and white photograph is Royal District Nursing Service (RDNS), Sister Megan Day, who has curled short dark hair and is wearing glasses. She is standing side-on facing to the right of the photograph. The index finger of her right hand is pointing to an area on the internal frontal view of a Human Torso Model which is sitting on a table to her right. Between her and the model is another Sister who has her long dark hair drawn back. She is looking at the internal organs in the Model. To the right of the Model is Sister Ruth McKeon, who has her long light colour hair drawn back into a French Twist. She is standing side-on facing to the left of the photograph, and is smiling as she holds one of the organs taken from the Model. When looking at the photograph, the left side of the Model's face is seen, and on the right side the Internal organs of the face are seen. The internal organs of the neck and torso of the Model are seen. A blackboard with writings about the function of 'The Heart' is In the background. The Sisters are all wearing their RDNS uniforms of a short sleeve white blouse under a V neck tunic style dress which has the RDNS logo on its upper left.Barry Sutton LY 66 namesrdns, rdns education, royal district nursing service, sister megan margaret day, sister ruth eileen mckeon

Sister Barbara Watson is an RDNS Liaison Officer and is meeting with Hospital staff and a patient in a Ward at the Alfred Hospital before the patient is discharged home where he will receive the nursing care required from a visiting RDNS Sister. Sr. Watson is wearing her RDNS winter uniform, which is a blue/grey skivvie worn under a V neck tunic style frock made of herringbone blue/grey winter material.Liaison had occurred between doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters) but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, coordinated discharge and booked the first visit by the visiting RDNS District Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a Hospital.Black and white photograph showing Royal District Nursing Service, RDNS, Sister (Sr.) Barbara Watson who is standing with hospital staff and with a patient who is resting in a hospital bed. On the left foreground of the photograph is Sr. Watson, who has blonde shoulder length curled hair and is wearing her RDNS uniform of a light grey skivvie worn under a darker grey V neck tunic style frock. She has her head turned to the left looking at the patient. Next right stands a Doctor, who is wearing glasses and has short dark hair. He is wearing his hospital white coat over his clothes and has his arms folded across his chest. Next right is another Doctor who is at the head of the hospital bed; He has short dark hair and is wearing his white hospital coat over a grey shirt. black tie and dark grey pants. They are all smiling at an elderly man who is sitting up in the bed resting against a white pillow and looking toward them. He is wearing glasses; has short dark sparse hair and is wearing a dark coloured pyjama coat with some white piping, and a white handkerchief in the pocket. He is looking at the three and has his hands clasped on top of the bedclothes. The hospital bed has a white iron frame and an 'over bed table' is at its foot and in the foreground of the photograph. On the right of the bed is a hospital Sister, who has short dark hair; is wearing glasses and wearing her white uniform dress and cap. She is smiling as she looks toward the patient and Doctors. A hospital curtain is against the wall behind her. Part of a window and curtain are seen on the far left of the photograph.Photographer stamp. Quote No. LA 6 Name of hospital and RDNS liaison sister.melbourne district nursing society, mdns, royal district nursing service, rdns, rdns liaison, sister barbara watson

This photograph is taken in Mrs Mann's home in the Melbourne suburb of Surrey Hills. The RDNS uniform worn by the Health Aides was a Royal blue dress with white piping on the collar and pockets worn under a dark blue cardigan. The RDNS Health Aides are visiting Mrs. Mann to administer nursing care which the RDNS Sister who attended Mrs. Mann had assessed and then demonstrated to them. Specific instruction.were written for the Health Aides to follow and the RDNS Sister did regular supervisory visits.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 RDNS Principal Nurse Educator. Pat (Paddy) Rowley was evaluated as successful. Following this Pilot study, Home Health Aides were employed by RDNS, and after instruction in the RDNS Education department, joined RDNS Centres and worked under the supervision of the RDNS Registered Nurses, (Sisters). The Sister assessed each patient, then introduced and supervised the Health Aide in the procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aid followed each visit. If the Health Aide noticed any change in the client’s condition, this was reported immediately and the Sister visited. The Sister made routine visits to the client for review at least monthly. This black and white photograph shows, on the left hand side, Mrs. Gertrude Mann sitting at the table in the kitchen of her home. She has her grey hair drawn back and has a string of beads over her grey buttoned cardigan Standing to her right are two Royal District Nursing Service (RDNS), Home Health Aides. The closest is Miss Penny Goodwill who has long blonde hair, and far right,is Mrs Dorothy Byrne who has short curly dark hair. The Health Aides are wearing dark coloured dresses with white piping on the collars and pockets, Part of a white RDNS insignia can be seen beneath their dark coloured cardigans. . A check tablecloth is covering the table, and a bottle of milk, some jars, and a vase of flowers adorn it. The mantelpiece and part of a tiled fireplace containing a stove is in the background. Part of an open door is to the right rear. The top of a wooden slatted chair is seen in the right hand side foreground.Hand written names and information on back of photographroyal district nursing service, rdns, rdns home health aides, rdns education, mrs gertrude mann, home health aide dorothy byrne, home health aide penny goodwill

The Royal District Nursing Service (RDNS) Sisters are using a hoist to transfer a lady who has limited mobility into her wheelchair. The photograph is taken in the lady's home. From the founding of the Melbourne District Nursing Society (MDNS), in 1885, known as the Royal District Nursing Service (RDNS) from 1966, equipment was loaned and demonstrated to patients, and their family members, to enable them to care for their loved ones in their home. RDNS employed a Physiotherapist who taught RDNS staff the correct transferring techniques. New lifting techniques, such as the use of a hoist, was taught to RDNS staff and were used in patient's homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members. 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, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Coloured photograph showing Royal District Nursing Service (RDNS), Sister Helen Pelosi on the left hand side. She has short dark hair; is wearing a a light blue apron over her RDNS uniform, and is moving a lady in a hoist to a wheelchair. Another RDNS Sister, who has short blonde hair, is wearing her RDNS uniform of Royal blue V neck tunic style frock, with part of her white blouse seen and a navy blue cardigan. She has her right arm extended towards the top of a hoist. The lady is laughing and is suspended in a sling attached to the metal hoist. Around her neck is a white scarf with blue dots which is hanging over her red jumper. She is wearing a blue dress and long dark socks. Both her hands are extended upward holding onto the metal cross bar of the hoist. Part of a wheelchair is seen in the left foreground. Open long gold curtains with voile curtains in the centre can be seen in the background.royal district nursing service, rdns, patient care, rdns equipment, sister helen pelosi

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

The photograph is taken in the RDNS Education Department at 448 St. Kilda Road, Melbourne. Mrs. Gerardi and Mr. J. Psaros are Telephone interpreters. Sr. E. Comb is learning, by role play, how best to communicate with people who have limited understanding of English. The other Sisters are observing the role play. One Sister is wearing the RDNS winter uniform of a dark blue cardigan over a light blue/grey skivvie and V neck tunic style frock made of blue/grey herringbone winter material. Sr. Perillo is wearing the RDNS summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock. The RDNS logo is seen on the upper left of the frock. The other uniforms are a royal blue dress with white piping around collars.The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. The RDNS Trained nurses (Sisters) visited patients from many different cultural backgrounds, and Education was given to their Sisters to assist them when speaking with the patients and giving them care. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.In the left foreground of this black and white photograph is a side-on view of Mrs. G, Gerardi, who is wearing glasses; has dark curly hair, and is wearing a black and grey vertically striped dress. She is sitting on a chair in front of a group of RDNS Sisters sitting at small rectangular tables which are butted together. Slightly to her left rear sits Mr. J. Psaros, who has short thick dark hair; is wearing a black leather type jacket, black trousers, white shirt and dark tie. He is looking at Mrs. Gerardi. To his left sits Sister (Sr.) E. Comb, who has short dark hair and is wearing a uniform dark cardigan over a dark dress with white piping on the collar. She is facing the group and looking at Mrs. Gerardi. In the centre of the photograph is the first of the seven RDNS Sisters at tables, five in the front, and two partly hidden in the row behind; they are also looking at Mrs. Gerardi. This Sister has curly dark hair and is wearing day clothes of dark slacks and a dark top, with white circle logo, over a white blouse the peaks of which are seen. The Sister. to her right has short straight dark hair and is wearing a dark cardigan over a light grey skivvie and V neck tunic style frock. The name on a card in front of her is indistinguishable, but 'Footscray' is seen. The next, Sr. Arrisa Perillo, has short curly dark hair and is wearing a short sleeve white blouse under a dark V neck tunic style dress. Her name and the word 'Footscray' is on a card in front of her. The next Sr. has short blonde curly hair and is wearing a dark cardigan over a dark dress with white piping around the peaks of the collar. The next the Sister is partly hidden. Her name is written on a card in front of her, this is indistinguishable except for the word 'Caulfield'. A large dark handbag with light colour motif on it, sits on the light colour carpet under the front section of Sr. Perillo's table. In the background are five windows with open Venetian blinds. Barry Sutton. Quote LJ60rdns education, royal district nursing service, rdns, telephone interpreters, mrs g. gerardi, mr j. psaros, sister e. comb, sister perillo

Sister Gawith is a Nurse Educator with Royal District Nursing Service (RDNS) and she is instructing a group of RDNS Sisters during an Advanced Post Basic Course being held in a room in the Education Department at RDNS. Most of the Sisters are wearing the RDNS winter uniform, which at that time was a V neck tunic style dress made of blue/grey herringbone winter material, over a blue/grey skivvie. Sr. Moore is wearing the summer uniform of a royal blue V neck tunic style dress worn over a short sleeve white blouse and a dark blue cardigan.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), 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 Trained nurses (Sisters) receiving In-service Education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the 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 graduated from the College of Nursing in Community Health, Education and Administration and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, 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 patients at home, and to Mount Royal Hospital to observe the care of patients 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 Sisters. The black and white photograph depicts a group of eight Royal District Nursing Service (RDNS) Sisters (Sr) seated and looking at, and some writing in, white paged books on tables in front of them. Seated in a semi-circle are. L - R: a Sister who is wearing glasses and has her dark shoulder length hair drawn back, then Sisters: Yvonne Laird, who has collar length dark hair, Anne Greenwood, who wears glasses and has short dark curled hair, a Sr with her long hair drawn back, then Sue Moore with shoulder length dark hair and wearing a dark V neck tunic style frock over a white blouse, and a dark cardigan. The next Sister, with dark hair, is partly hidden and next to her is Ethel Fullerton. who wears glasses and has curly hair. She is sitting with a pen in her right hand poised over white book. Sr. Mary Gawith, who has short dark curled hair, is standing in front of and slightly to the right of her. She is looking down at Sr. Fullerton and is holding an open book with the end of the spine resting on her table and showing the open pages to Sr. Fullerton. Sr. Judy Peter, who has her blonde hair drawn back, is sitting side-on in the centre foreground of the photograph with her arms resting on the other side of Sr. Fullerton's table. Most Sisters are wearing the RDNS winter uniform, of a V neck grey tunic style dress over a light grey skivvie. Photographer Stamp. Quote No. MA 22royal district nursing service, rdns, rdns education, sister mary gawith, sister yvonne laird, sister ethel fullerton, sister anne greenwood, sister sue moore (nee revill)

RDNS Sister E. Anderson is Supervisor of Royal District Nursing Service (RDNS) Footscray Centre and Mrs. J. Simpson is the coordinator of RDNS Auxiliaries. They are admiring items from auxiliaries and other interested friends which will be distributed, as required, by RDNS Sisters to any poor families whom they visit to administer nursing care.From its inception in 1885 Melbourne District Nursing Society (MDNS), held functions to gain finances to run the Society. They also asked the public for donations, ranging from food items to linen for bandages, bed linen, blankets, clothes, including baby clothes, etc to assist in the care of their patients. The public generously responded. Each year the President made a special appeal for donations at Christmas time for food and gifts for the MDNS sick poor. Out of this evolved, in 1925, the first MDNS Auxiliary in the Eastern Suburbs. This extended to Auxiliaries throughout the suburbs who worked to donate money and ‘gifts in kind’ to assist MDNS to continue their work, and to furnish wards in the After-Care Home. Before the District Division of MDNS had its own fleet of vehicles, a Motor Auxiliary was formed in 1929 where the general public, when available, provided their car, and drove Sisters to visit patients who lived a distance away. This was disbanded in 1971 when the, now named Royal District Nursing Service (RDNS), had its own fleet of vehicles. The Jessie Henderson Auxiliary ran a Kiosk and Library with all profits to the Society for 20 years. By 1950 there were fourteen auxiliaries who continued to hold functions when the District division separated from the After-Care Hospital and became Melbourne District Nursing Service, which, with Royal patronage, became RDNS in 1966. A Council of Auxiliaries, with Mrs. J. Simpson at its head, and which comprised of two delegates from each auxiliary, was formed in February 1968 to work for District. There were nine auxiliaries in 1970. They continued to run into the 2000s, but the numbers of auxiliaries reduced over the years, as well as the number of members in each auxiliary as the members aged, so this form of support ceased.On the rear left of the black and white photograph is Royal District Nursing Service (RDNS), Sister E. Anderson, who has short dark curly hair and is wearing her RDNS uniform of a long sleeved grey frock, with a white name badge on the upper left; parts of RDNS insignia are seen on the top section of each sleeve. On the right rear is Mrs. J. Simpson, who has her long dark hair drawn up and is wearing a light grey coloured frock with white lapels, cuffs and a white pocket, all with dark piping. They are both holding baby items and looking at knitted and other donated items which are laying on tables in front of them.Photographers stamp. Quote No. KH 74melbourne district nursing society, melbourne district nursing service, mdns, royal district nursing service, rdns, mdns auxiliaries, rdns auxiliaries, ellen anderson,, j. simpson,