Royal District Nursing Service (now known as Bolton Clarke)
Photograph - Photograph, sepia, c.1892
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
Surrey Hills Historical Society Collection
Surrey Hills Historical Society Collection
University of Melbourne, Burnley Campus Archives
Port Fairy Historical Society Museum and Archives
Royal District Nursing Service (now known as Bolton Clarke)