This is the first photograph taken of Trained nurses, who worked with the Melbourne District Nursing Society (MDNS) and has been kept in their Archives (now RDNS) since that time. The photograph, taken about 1892, records the uniforms worn by MDNS Nurses in that era, and records images of Nurse Kennedy, who commenced with the Society at the end of 1891, and worked in the Western District of the CBD until the end of 1893; and Lucy Smith who worked in the Eastern District of the CBD between April 1892 - June 1893 when she left to get married. Nurse Smith trained at the Nightingale Training School for Nurses at St. Thomas's Hospital in London, the first professional nursing school in the world and as such she was given the position of the first 'Head Nurse' at MDNS. Though Florence Nightingale never worked at St. Thomas’s she did form the curriculum for the nurses training and received regular reports regarding the probationers, as well as receiving the nurses in her home during the latter part of their training. According to Lucy's family she met Florence Nightingale. The photograph shows two of the three Trained nurses employed by MDNS at that time. All Nurses employed by MDNS from its inception in 1885 were trained and received their qualification in a Hospital, but in those times were called 'Nurse'. In Melbourne in 1885 it was recognized that skilled nursing was needed in the inner city to care for the sick poor in their own homes. On the 17th of February a meeting was held with prominent Melbourne citizens, five gentlemen and fourteen ladies. ‘Dr. Caffyn and Rev. Charles Strong explained the objects and scope of District nursing Societies that had been formed in other towns’ in UK. On that day the Melbourne District Nursing Society (MDNS) was founded, the first District Nursing Society in Australia. Subsequent meetings were held to form a Committee and to draw up a Code of Rules of the Society. It was decided only nurses who had attended a Nurses Training School and were fully qualified would be employed by the Society, and that the Nurses would keep a daily journal of their work. After interviewing several candidates, the first Trained Nurse, Mrs. Ferguson, was employed with a salary of £100 per annum and commenced work on the 1st of May 1885. She was employed for three months initially, but this was soon extended, “on the understanding she will make arrangements to live in the more immediate vicinity of her district”. A doctor was consulted before any person was seen. In rotation, a member of the Superintendence Sub-Committee supervised the Nurse’s visits and could assist to alleviate some of the poor social conditions they found. Though only Trained nurses were employed, the term ’Nurse’ was used in those days. Lady Janet Clarke, a philanthropist, was one of the first two Vice-presidents and President from 1888 until 1908 (except when overseas); she was a driving force in the Society. She held the first fund raiser for the Society at her home ‘Cliveden’ and went on to help organize many functions where she, along with Committee members, manned the stalls to raise funds. She also took her turn to accompany the Nurse, and was noted for her kindness and benevolence. Over the years the Committee, which was made up of 80% ladies, worked tirelessly for the Society; many Auxiliaries were formed. A second Trained nurse, Mrs. Joanna Cannon, was employed in late 1885, with a trial period of six months which was extended. She and Mrs Ferguson were the stalwarts of the Society in the early years, Nurse Cannon remaining with the Society for four years and Nurse Ferguson for five years, though both had a short break due to the heaviness of the work. Nurse’s salaries were reduced to account for the cost of uniforms, and again in later years when establishments were rented by the Society and the nurses could now live in the Nurses Home. The two Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. From its inception the Society was at the forefront of health care and liaised with doctors. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their Carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and cooked soup when needed. As the work increased a third Trained 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. In 1891 the first Nurses Home was rented for 1 year at £65 per annum at 66 Cardigan Street, Carlton; Nurses wages were now £60 per annum. A Doctor gave lectures from the Home to the public on the understanding and prevention of diseases. The Society decided to commence a Midwifery Service and Nurse Fowler, who had previously worked for the Society, was re-employed as their first trained Midwife. She began home births in August 1893 giving them Ante Natal care, taking midwifery bundles and providing clothes for the babe and mother as needed. Following birth, she gave Post-natal care to the mother and babe twice a day for three days and then daily for a week, and longer if required. She resigned after twelve months and Nurse Wilkie was appointed to the position. As well as walking, the nurses used Public transport in the limited areas it ran, though a taxi was used by the Nurses and Midwife in emergencies and at night. Late in 1891 the Society moved to larger rented premises at 49 Drummond Street and in 1902 moved to 188 Leicester Street, Carlton Sepia Photograph of two Melbourne District Nursing Society (MDNS), Trained nurses; on the left is Nurse Kennedy (sitting) and to the right Nurse Lucy Smith (standing). They are wearing the MDNS uniform of a long grey frock. Over this they are wearing a grey long sleeve jacket with self buttons down the centre. The jacket forms a V at the waist. Nurse Kennedy has a round visage with her central parted dark hair drawn back. She is wearing ear rings and holds the top of a closed umbrella in her left hand, the feral rests on the ground. She has a straw hat in her right hand. Nurse Smith has a long visage; is wearing ear rings and her central parted dark hair is drawn back. Her right arm is extended holding the back of the chair on which Nurse Kennedy sits. melbourne district nursing society, mdns, mdns uniforms, mdns first 'head nurse', rdns, royal district nursing service, trained nurse kennedy, trained nurse lucy smith

This photograph depicts the Sister-in-charge with a group of Melbourne District Nursing Society (MDNS,) Trained nurses, 'Nurses", with their bicycles, which were the first mode of transport purchased by MDNS in 1903. The bicycles enabled their Nurses to visit more patients over a wider area. They are identified as: L-R back row: Trained Nurses Taylor, Steele, Francis, Young. L-R front row: Isobel Curnow, Annie Roberts, Isabel Hawkes (Sister in Charge), Becker. Their uniforms were a grey cotton dress with white collar, cuffs and belt and their was a red Maltese cross on their pith helmets. They gave nursing care to the poor in the inner Melbourne and close surrounding areas (districts). On the 17th of February 1885, just 50 years after Melbourne was founded, a preliminary meeting of ladies and gentlemen who were anxious to form a society to provide "skilled nursing" for the sick poor in their own homes was held in Mrs William McCulloch’s home at Spring Street, Melbourne. At this meeting it was decided “that the association would be called the Melbourne District Nursing Society”, the first Society of its kind in Australia, and “that the special object of the Society shall be to secure skilled nursing for the sick poor in their own homes”. On the 16th of March a Committee was formed to “arrange for engaging one "duly qualified nurse”. On the 1st of May 1885 a Nurse, Mrs. Ferguson, was employed at £100 per annum, and a second Nurse, Mrs. Joanne Cannon, commenced six months later. In that era the term ‘Nurse’ was used even though they were ‘qualified’ i.e. ‘trained’ nurses. They worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality Trained nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness, fresh air and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed, as well as providing wood and coal in the winter. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. Trained midwives began home births in late 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. As the work increased a third Trained 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. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. In 1913 a Nurse had her Board and residence, uniforms, bicycles and laundry expensive provided and was paid £50 a year for her first six months. At the end of a year her salary is increased by £5, and later she earns £60 a year. Over the years the nurses complained that their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. Sepia photograph of eight Melbourne District Nursing Society Trained nurses posing with their bicycles in a park; some are partly hidden. Nurse's uniforms consist of long grey dresses with white belts, cuffs and collars and white pith helmets with a Maltese cross in the centre. Oblong leather nursing bags of varying sizes are strapped to five of the bicycles. In the centre is Sister-in-charge – Mrs Hawkes (in white); to her left are 4 Nurses and to her right 3. L-R – Front row – Trained Nurses Curnow, Roberts, (Hawkes) and Becker. Back row – Nurses Taylor, Steele, Francis and Young. Trees and a palm are in the background. The bicycles have two large wire spoked wheels at either end of the black V shape bicycle frame; a rubber tyre runs around the outside of each wheel. The metal handlebars are a horizontal configuration and are attached with a central column into a black vertical column at the front of the V shape bicycle frame which has ‘fork shaped’ thin metal pierces running down either side of the wheel attaching the frame to the central hub of the wheel. The rear wheel is attached the same way to a central column at the rear of the frame which runs up to V shape solid seat. At the bottom of the V of the frame a pedal is attached with a rotating arm on either side of the bicycle and on the right side the rotating arm is attached to a sprocket which has a chain running around it back to a smaller sprocket on the hub of the back wheel. The chain has a thin metal guard over it. There are narrow thin metal mud guards running a short distance above the top of each wheel. melbourne district nursing society (1885-1957), bicycles, nurses, uniforms, mdns, mdns transport, rdns, royal district nursing service, trained nurse annie roberts, sister-in-charge isabel hawkes, trained nurse taylor, trained nurse steele, trained nurse francis, trained nurse young, trained nurse becker, trained nurse isobel curnow

This Certificate was presented to Trained nurse, known as 'Nurse' in those days, Nettie Osborne on completion of six months employment with Melbourne District Nursing Society (MDNS). This is the only example of a MDNS Nurses certificate in the RDNS collection. In 1913 the MDNS Nurses had their board and residence, uniforms, bicycles and laundry expenses provided. Newly employed Nurses were paid £50 a year for her first six months. At the end of a year her salary was increased by £5, and later she earned £60 a year. .Following the founding of the Melbourne District Nursing Society (MDNS) in February 1885 to care for the sick poor in Melbourne, subsequent meetings were held to form a Committee and to draw up a Code of Rules of the Society. It was decided that only nurses who had attended a Hospital Nurses Training School and were fully qualified would be employed by the Society. After interviewing several candidates, it was on the first of May 1885 when the first Trained nurse, known as 'Nurse' in those days, Mrs. Ferguson, was employed by MDNS with a salary of £100 per annum. 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 agreed to assist the Nurse with advice at any time. In rotation, a member of the Superintendence Sub-Committee supervised the Nurse’s visits and could assist to alleviate some poor social conditions they found. A second Nurse, Mrs. Joanna Cannon was employed by MDNS six months later, with a trial period of six months which was extended. They were the stalwarts of the Society in the early years, Nurse Cannon remaining with the Society for four years and Nurse Ferguson for five years, though both had a short break due to illness through the heaviness of the work. Nurses salaries were reduced to account for the cost of uniforms, and then when establishments were rented by the Society and the Nurses could now live in the Nurses Home. The Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They liaised with Doctors and provided high quality trained nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness, fresh air and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. They provided nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, 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. 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 Trained Midwife was employed in August 1893. The work was arduous, particularly in the heat of summer. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used; straw hats were worn in summer. Over the years the Nurses complained that their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. Public transport was also used over the years, in conjunction with a Motor Auxiliary from 1929 to 1971. MDNS began with its own small fleet of vehicles in the early 1950s which gradually expanded into a full fleet.The coloured Certificate is made of white paper attached to a buff card forming a boarder. It is in gold print on the white background which has a thin gold border. In large bold script are the words "Melbourne District Nursing Society" In between the words "District" and "Nursing" is a red Maltese cross which extends above and below the writing. Underneath this, in smaller capital letters, are the words "For Nursing Sick Poor In Their Own Homes"/. Below this in bold script are the words "This is to Certify that"/. Under this, written in black handwriting, is "Nurse Nettie Osborne"/; below this in script is "has acted in the capacity of District Nurse", then in black handwriting the words "Six Months"/. The next two lines read "having fulfilled her Duties to the satisfaction of her Committee, /"and appreciation of her Patients". The Certificate is signed in black by Mary Leeper, Vice President; Kate Hood; Hon. Treasurer; C.M. Tatham Hon. Secretary, and has Date; 8th July 1913 in black handwriting. On paper attached with tape to the back of the Certificate, is a copy of a photograph of two unidentified people. [Possibly Nettie and her husband]. Some small marks, and in one area a small area of cracking is seen on the white background of the certificate.certificates, mdns, melbourne district nursing society, rdns, royal district nursing service, nurse nettie osborne

Matron Freeman and the MDNS Trained Nurses are wearing long grey coats and white pith helmets, which display a red Maltese cross.The Pith helmets are held on with a white veil. The two Bicycles with nursing bags attached to handlebars show the transport used by MDNS at that time.. Nurses - Back - L-R - O'Sullivan, Deans, Warren, Amess, Pat Lee and Jane with bicycle Front - L-R - Blanche Wilson, Matron Janie Freeman, Peake and Brown. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded with one Trained nurse (Nurse), and a second employed six months later. This was the first such service in Australia. They worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron. They loaned equipment, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing clean bed linen and nightdresses as necessary. Trained Midwives began home births in August 1893 taking midwifery bundles and providing clothes for the babe as needed. This was arduous work, particularly in the heat of summer. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. In 1913 a Nurse had her Board and residence, uniforms, bicycles and laundry expensive provided and was paid £50 a year for her first six months. At the end of a year her salary is increased by £5, and later she earned £60 a year. Over the years the Nurses complained their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. 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.Sepia photograph on brown card mount with 'Kirk Studio' on bottom right of the card. The photograph shows Matron Freeman and nine Melbourne District Nursing Society (MDNS) Trained nurses, (Nurses), with bicycles. The back row of six Nurses are standing and the Nurses either end are holding bicycles which have leather oblong nursing bags attached to the handlebars with two straps. The front row are seated. All are wearing the MDNS uniform of long dark coats and white helmets, with white scarves covering them and tied under their chins. A Maltese cross can be seen in the centre of the helmets. Both bicycles have two large wire spoked wheels at either end of the black V shape bicycle frame; a rubber tyre runs around the outside of each wheel. The metal handlebars are a horizontal configuration and are attached with a central column into a black vertical column at the front of the V shape bicycle frame which has 'fork shaped' thin metal pierces running down either side of the wheel attaching the frame to the central hub of the wheel. The rear wheel is attached the same way to a central column at the rear of the frame which runs up to V shape solid seat. At the bottom of the V of the frame a pedal is attached with a rotating arm on either side of the bicycle and on the right side the rotating arm is attached to a sprocket which has a chain running around it back to a smaller sprocket on the hub of the back wheel. The chain has a thin metal guard over it. There are narrow thin metal mud guards running a short distance above the top of each wheel.Photographer's embossed stampmdns, melbourne district nursing society, mdns uniforms, mdns transport, mdns matron, rdns, royal district nursing service, nurse blanche wilson, nurse pat lee, nurse deans, nurse o'sullivan, nurse warren, nurse amess, nurse peak, nurse brown, matron janie freeman

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

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

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

A letter dated 8th May 1973 details how the letter from Florence Nightingale was forwarded to Mrs E.G. (Janet) Wilson in 1955 by Gwendolen, Florence Nightingale's niece. The explanatory letter was forwarded by Elsa Halenstein and given to Royal District Nursing Service and remains in its Archives. From 1948 Mrs. Wilson served on the Committee of Management of Melbourne District Nursing Society (later Service), serving as President from October 1964-1967. In 1949 Mrs. Hallenstein served on the MDNS Committee of Management, becoming President of the now Royal District Nursing Service from 1967-1974. Florence Nightingale was the founder of modern nursing. Melbourne District Nursing Society (MDNS) only employed Trained nurses from its inception in 1885. They followed Florence Nightingale's basic rules of good hygiene, cleanliness, good nutrition and fresh air, which they learned during their Nursing Training at a Hospital, and taught to their patients by instruction and demonstration. In those days Trained nurses were called 'Nurse'. In 1892 MDNS employed Lucy Smith who, through the Nightingale Fund, did her nursing training at the Nightingale Training School at St. Thomas's Hospital in London. She was the first nurse from this school to work at MDNS. Florence Nightingale, born on the 12th of May 1820, was named after the place of her birth in Italy. Born into a wealthy family she was schooled at home where she excelled in her studies; spoke several languages fluently, and was taught home management. She believed she was ‘called’ to reduce human suffering and tended to ill members of her family and tenants on the family estate. She worked as a nurse at Salisbury Infirmary where she learned about nursing sanitation and hospital practice. Florence then enrolled at the Institution of Protestant Deaconesses at Kaiserswerth, Germany where she learned basic nursing skills, the importance of patient observation, and hospital organization. In 1853 she became Superintendent of the Institution for Sick Gentlewomen in Distressed Circumstances in London, where she reformed health care, working conditions, and hospital efficiency. The Crimean War broke out in late 1853 and a newspaper reported the injured and sick soldiers were being cared for by an “incompetent and ineffective medical establishment and that most basic supplies were not available for care”. After an outcry from the public, Florence was asked to lead a group of 38 nurses, whom she had trained, to Scutari where the wounded soldiers were sent. After arriving at the Barrack Hospital in October 1854, she found the soldiers were being cared for in overcrowded and filthy conditions; contaminated water, faeces on the floors and rats running freely. There were few supplies and equipment. Florence bought supplies and equipment and found help to assist in the laundry. The wards were scrubbed from floor to ceiling. Florence set a high standard of care with fresh air, hygiene, clean clothing, sufficient food and regular dressing of wounds being carried out. She realized the importance of psychological needs, and soldiers were assisted to write letters to relatives, and took part in education and recreational activities. Of a night Florence walked through the wards, carrying a lamp to light her way, to check on ill and wounded soldiers and became known as “The Lady with the Lamp”. She gained the respect of the soldiers and the establishment, and later, the public through the soldier’s letters and reports in the newspaper. After visiting Crimea she contracted ‘Crimean Fever’ from which she never really recovered. When she returned to London she was regarded a heroine. The public had given freely to buy her a gift but Florence preferred this money be used to establish a fund, which became known as the Nightingale Fund. Florence had kept excellent records on the running of the Barrack Hospital, medical and nursing staff efficiency, and the causes of illness and death. Many nurses from the training school became Matrons in many countries throughout the world. Florence pushed the Government for legislation to improve drainage and sanitation in homes and in the building of hospitals with fresh air a priority. She wrote the book ‘Notes on Nursing’ and many writings on health reform. She died, aged 90 years, in her home at 10 South Street, Park Lane on the 13th of August 1910. A handwritten letter, written in lead pencil, by Florence Nightingale. It is written to her niece Gwendolen.. The letter is on buff coloured paper and has the date 'Oct 17 1900'/ written in the top right hand corner; below this is, in capital letters, the two line black printed address - '10, South Street,/ Park Lane, W'/ is stamped. The bulk of the letter reads over eight lines: "Dearest Gwendolen",/ "Thanks for your / dear note,/ I shall gladly look / forward to seeing you, / on Friday at 5 ,/ ever your loving, / Aunt Florence./ . rdns, royal district nursing service, miss florence nightingale, mrs e.g. (janet) wilson, mrs d. (elsa) hallenstein

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

This RDNS Liaison Sister is reassuring a lady who is being discharged from Mount Royal Rehabilitation Hospital regarding the visits she will receive from RDNS Sisters in her home. The Liaison Sister had previously visited the lady in the Ward to ascertain the care she would require at home and this information had been passed to the appropriate RDNS Centre and to the Sister who would be visiting the lady in her home. The RDNS Sister is wearing her RDNS winter uniform of a blue/grey skivvie under a blue/grey winter material herringbone V neck tunic style frock. She is wearing her blue/grey herringbone winter material hat.Liaison had occurred between doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District field staff and Doctors when patients were referred by General Practitioners and did not attend a Hospital. Rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by the RDNS Sisters.On the right of the black and white photograph is a Royal District Nursing Service (RDNS) Sister, who is wearing her uniform hat over her short curled hair, and a pale skivvie under a V neck tunic style grey dress. She is leaning forward with her left hand on the arm of a wheelchair, and is smiling at a lady, who has short curly hair; is wearing glasses and grey frock with a belt, and is sitting in wheelchair. She is holding the tops of walking sticks with both her hands; the foot of the sticks are resting on the ground. The footplates of the wheelchair are open and the lady has her feet on the ground. To her left stands a gentleman who has short dark hair and is wearing a buttoned up dark cardigan over a light coloured shirt, peaks showing, and light trousers. He is holding a 4 prong stick in his right hand and is looking at the lady. A Hospital Sister, who is wearing a dark cape over her white uniform and a white veil over her short dark curly hair is standing behind the wheelchair looking down at the lady. In the background, part of a brick wall can be seen on the left and to the right of this an open glass door and to its right is a closed glass door with writing on it.Barry Sutton Photographer's stamprdns, royal district nursing service, rdns uniform, rdns liaison, rdns rehabilitation

This photograph is a record of Matron Beatrice Williams with some of the Trained nurses (Sisters) who worked in the District division of Melbourne District Nursing Society After Care Home in 1933, just prior to Matron Williams resigning to be married. It was taken in front of the Nurses Home at 39 Victoria Parade, Collingwood and shows part of the District nursing uniform worn by the MDNS Sisters in the 1930s. At that time their uniform dresses, worn under their coats, were grey cotton and their brimmed hats were made of felt and had a red Maltese cross applied to the centre front of the hatband.Miss Beatrice Williams worked as a Trained Nurse (Sister) with the Melbourne District Nursing Society (MDNS) before going to England to gain her Midwifery certificate. After qualifying, she worked as a Tutor sister and a District Superintendent at the University College Hospital in London. On returning to Australia she was appointed, in April 1929, Matron of the District division of the MDNS After-Care Home (Hospital from 1934). She convinced the Committee of the need for Ante Natal care and in 1930 the Ante Natal Clinic was opened at the After-Care. She continued as Matron until 1933 when she married Dr. J.P Major, and was invited to join the Committee of Management. In the early 1950s when the Government requested the Society separate and it take over the After Care Hospital, she became President of the now named Melbourne District Nursing Service with its Headquarters and Nursing Home moving to 452 St. Kilda Road, Melbourne. Beatrice had an understanding of the poor, the sick and the aged, and was known for her kindness and sympathy. Her foresight, leadership and enthusiasm brought forth the expansion of District nursing. She died on the 15th of August 1958. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph showing Matron, Miss Beatrice Williams, wearing a white uniform and veil over her short dark hair, and a group of thirteen Melbourne District Nursing Society Trained nurses (Sisters) outside the front of their Nurses Home. The Sisters are wearing grey coats over their grey uniforms and grey brimmed hats with a Maltese cross applied to the white headband. Matron is sitting in the centre of six Sisters and there are seven Sisters standing behind them on the veranda; a round column is seen to the right between the 4th and 5th Sisters. Part of the grey building behind shows an open door to the left and a long window to the right. A scrolled metal safety rail, running from the round column, is seen in front of the three nurses on the right. The seated Sisters and Matron have their legs crossed at the ankles, melbourne district nursing society, mdns nurses, mdns, rdns, royal district nursing service, mdns uniforms, matron beatrice mary williams

This photograph shows a Melbourne District Nursing Society (MDNS) Sister visiting a patient in his home. The photograph shows her taking his temperature and pulse and carrying out basic nursing observations. The Sister kept a record of this information in the man's Nursing History at MDNS Headquarters and conveyed it to the patient's Doctor as required.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.This black and white photograph shows a Melbourne District Nursing Society (MDNS) Trained nurse (Sister) standing on the left of a man who is in his bed on the veranda of his home. She is wearing a white gown over her uniform and her grey uniform hat, which has a hatband showing a Maltese cross in the centre; she has her left hand on the man's right wrist and is looking down at a watch she is holding in her right hand. The man, who has short dark hair, is holding a thermometer in his mouth. He is partly propped up with his head resting on a white covered pillow; part of the iron frame of the bed is seen to its left. Most of his body is covered with light coloured bedclothes; part of his pyjamas can be seen. Part of a vase of flowers is seen just behind the Sister's left arm. In the left of the photograph, part of the weatherboards of the house can be seen with a window, partly obscured with a blind. To the right of the man is a veranda post and some pickets of a wooden fence; behind him part of a brick wall is seen.melbourne district nursing society, mdns, mdns uniforms, rdns, royal district nursing service

This photograph is taken in the home of the lady and shows MDNS Sister J. Faust giving an injection, using a glass syringe, into the right upper arm of the lady. This type of syringe was re sterilized. These syringes remained in use until the mid 1960s when disposable plastic syringes took their place. This photograph was used in a video on the history of RDNS which is held by the organization. It is a record of the type of care given by Melbourne District Nursing Society (MDNS) Trained nurses in a patient's home.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of Melbourne District Nursing Society (MDNS), Sister J. Faust who is wearing her grey brimmed uniform hat over her dark curled hair and is wearing a white gown over her grey uniform which is seen below her gown. In her right hand, she is holding a syringe, with needle against the lady's skin, and her left hand is on the upper right arm of the lady above the needle site. The lady, who has light coloured curled hair and is wearing a dark coloured long frock, is standing to the right of the Sister and is holding the right sleeve of her dress up with her left hand. A metal sink with cupboards below is behind the lady. To the left is fireplace which is now tiled at the rear and has a gas stove with kettle on a jet in the space. A row of three pale coloured kitchen canisters in decreasing size sit on the mantle piece. On a shelf above these sit a dark coloured box and a tall thin vase. Staff members name is written on the back of the photograph.melbourne district nursing society, nursing care, royal district nursing service, rdns, mdns, nursing care - medications, mdns uniforms, j. faust

RDNS Liaison Officer, Sr. Barbara Watson is attending a meeting with members of Dr Kay's Coronary Care staff at the Alfred Hospital. Sr. Watson is wearing her RDNS winter uniform of a blue/grey skivvie under a V neck tunic style herringbone winter material dress.Liaison had occurred between doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals.They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, coordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital Doctor, via the Liaison Sister, at the time the patient attended outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a Hospital.On the left of the black and white photograph is Royal District Nursing Service (RDNS) Liaison Sister Barbara Watson who has shoulder length blonde hair which is curled at the ends; she has her hands clasped in her lap. She is wearing her uniform light grey skivvie under a V neck tunic style dress and is seated on a chair, the first in a semi circle alongside five lady hospital staff members and Doctor Kay. To the right of Sr. Watson sits a lady who has shoulder length curled hair and is wearing a white hospital coat over her clothes, with part of her dark skirt seen.. Next is a lady with long dark curled hair who is wearing a white uniform dress under a dark cardigan. To her right is a lady with long dark straight hair who is wearing a white uniform dress and a dark cardigan; she has a pen in her right hand which is poised on a piece of white paper resting of her right knee. To her right is a Sister, wearing light rimmed glasses, and wearing a white uniform dress and a white cap over her short dark straight hair. A hospital badge is attached at the top neck of her dress. She has her hands clasped on her lap and is looking to her right at the Doctor. Next is a lady with short straight dark hair who is wearing a white hospital coat over a grey dress. On the far right is Dr. Kay, who has short dark hair and is wearing a white hospital coat over a grey shirt, dark tie and dark trousers.He is looking to his right. In the left background is a long table and to the right some papers can be seen attached to boards on a wall.Barry Sutton's photographer's stamprdns, royal district nursing service, rdns uniform, rdns liaison, dr. kay,, sister barbara watson

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

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

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

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

This is style of nursing case and type of equipment used by the Sisters of the Royal District Nursing Service (RDNS) in the 1970s. The Sisters worked throughout the Melbourne inner and outer suburbs visiting patients to administer nursing care in their homes and other arranged venues. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal as necessary.Black deep case made of man made material. it has a raised lid with attached handle. The metal section between the lid and body of the case has metal clasps attached to it which open and close within this section. The deep section contains a cotton bag sewn in sections which contain artery forceps, dissecting forceps, scissors, thermometer, wooden spatula. Shown are a packet of Band-Aids, plastic bottle containing chlorhexidine, jar containing soft-soap and jar containing Saf-sol which were carried within the body of the case.rdns, royal district nursing service, rdns equipment, melbourne district nursing society

The Melbourne District Nursing Society After-Care Home was built in 1926 to give short term care to MDNS patients who were too ill to remain in their home, but not ill enough to go to hospital. Melbourne hospitals also sent patients there who required further care after discharge from hospital. After convalescence they returned to their homes. Many children were nursed there, particularly during the Polio epidemic.The Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Society built, then opened, the After-Care Home in 1926, (from 1934 called After-Care Hospital), for these patients, and patients from Hospitals. Many children were nursed there, some long term, during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Trained nurses and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their Committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for, and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. A trained Almoner was employed, but left after twelve months due to the amount of work required. Trained Almoners were in short supply so a Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. In the 1950s the Hospital and Charities Commission decided to take over the After-Care Hospital, so the Melbourne District Nursing Society and After-Care Hospital separated and the Melbourne District Nursing Service was formed, setting up Headquarters at 452 St. Kilda Road. In 1966 Royal patronage was given and the name changed to Royal District Nursing Service (RDNS).Digital image of the rear of the extended Melbourne District Nursing Society After-Care Home 45 Victoria Parade, Collingwood. It shows a three story brick building with a tiled hip roof and open verandas running along each story with windows seen behind. A zigzag stair case runs down the left hand side of the building and on the right hand side of the image you can see a section set back with one window on each floor. Behind this section, part of another multi story building is seen. A wooden paling fence is seen in the foreground of the photograph. On the far right, part of another brick building with hip roof can be seen melbourne district nursing society, mdns, melbourne district nursing society and after-care home, rdns, royal district nursing service

In 1934 the Trustees of the Marie Krecklow Estate donated 500 pounds to furnish and equip an empty Ward in the Melbourne District Nursing Society After-Care Hospital in the memory of Mrs. Marie Krecklow. This image shows the furnishings in the Ward of the Hospital at 45 Victoria Parade, Collingwood. The boys in this image are receiving nursing care before returning home following their recuperation. Many children were nursed at the hospital, some long term during the Polio epidemic. The Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Society built, then opened, the Melbourne District Nursing Society After-Care Home in 1926, (from 1934 called After-Care Hospital), for these patients, and patients from Melbourne Hospitals who required recuperation before returning home. Many children were nursed there, some long term during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Trained nurses and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened.A trained Almoner was employed at the hospital but left after twelve months due to the volume of work. Unable to employ another trained Almoner due to a shortage of them, a Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. In the 1950s the Hospital and Charities Commission decided to take over the After-Care Hospital, so the Melbourne District Nursing Society and After-Care Hospital separated and the Melbourne District Nursing Service was formed, setting up Headquarters at 452 St. Kilda Road. In 1966, following Royal patronage the name was changed to Royal District Nursing Service (RDNS).Digital mage showing the 'Marie Krecklow Ward' in the Melbourne District Nursing Society After-Care Hospital. The image shows five iron hospital beds along the left hand side and five iron hospital beds along the right hand side of the ward. Eight young boys, most with short dark hair and one with short blonde hair, are leaning against pillows sitting up in the beds. Some pillows are propped against an iron support which slopes from the headrest. Three sets of windows can be seen on either side of the ward which is painted grey and a wide floral border to the picture rails, then white paint above the picture rail which continues over the ceiling. A white table with vases of flowers is in the centre rear of the image. A Sister, wearing a white uniform and veil and a dark cape stands at the rear left hand side of the image, and two nurses wearing white aprons over dark uniforms and white caps stand half way down the ward, one on either side. mdns, melbourne district nursing society, after- care hospital, after-care home, rdns, royal district nursing service, mrs marie krecklow