This photograph is a visual record of Mrs. Major, then Miss Beatrice Williams was appointed Matron of the District Nursing Division of the Melbourne District Nursing Society (MDNS) After Care Home in April 1929 until 1933 when she resigned to marry Mr. J.P. Major. Following her marriage she was invited to become a member of the Society's Committee. In 1957 she was the first President of the Melbourne District Nursing Service.Mrs. Major, then Miss Beatrice Williams worked as a Sister with the Melbourne District Nursing Society in the early 1920s, before sailing tor England where she studied Midwifery and Community nursing. On her return her leadership qualities were recognized and she was appointed Matron of the District Nursing Division of the Melbourne District Nursing Society After-Care Home in April 1929, being considered 'capable, sympathetic, a good organizer and administrator and with understanding of the problems of the under-privileged, the aged and the sick'.. She was instrumental in convincing the Committee of Management of the need for an Ante-Natal Clinic which then opened at the After-Care Home in September 1930. Matron Williams tendered her resignation in 1933 as she was to marry Mr. J.P. Major. Following her marriage she was invited to become a member of the Society's Committee, and at the time of the dissolution of the Society and After-Care in 1957, was the first President of the now Melbourne District Nursing Service, a role she held until her death on 15th of February 1958.Black and white photograph of the head and shoulder view of Mrs. J.P. Major, nee Beatrice Mary Williams, who has short dark hair curled at the ends. She is wearing a light coloured floral frock with a square neckline.. She is sitting in front of a closed curtain.melbourne district nursing society, melbourne district nursing service, mdns, after-care home, rdns, royal district nursing service, matron, beatrice mary williams, mrs j.p. major

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

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

Auric syringes were carried by the Melbourne District Nursing Society Trained nurses, (Sisters), in their equipment bags.Used for syringing ears this model was used during the 1950s . The Sisters of the Melbourne District Nursing Society used equipment to administer care, as directed by a Doctor, to patients in their own homes.The Auric Syringe has a glass graded barrel surrounded by a metal casing, and has a metal plunger and a metal cone shaped aural attachment narrowing at the end. The syringe is sitting on a cotton protective bag.royal district nursing service, rdns, rdns equipment, mdns, melbourne district nursing society

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

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

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

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

This photograph is taken in the home of the Mother and babe and shows a RDNS Sister who is visiting to give the mother and babe Post-natal care. Royal District Nursing Service (RDNS) had a Domiciliary Infant and Maternal Care (DIMC) service which gave Post-natal care to new born mothers and babes in their homes following their early discharge from hospital, or if required for other reasons. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor at the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in DIMC also had their Infant Welfare Certificate, though Midwifery trained nurses also visited. Black and white photograph showing, to the left, a Royal District Nursing (RDNS) Domiciliary Postnatal Sister, with long hair drawn up, and wearing a white gown. She is attending to a new born baby in her wicker bassinet at the baby's home. The Sister is smiling and has her left hand by the shoulder of the wrapped babe, and her right hand is resting lower on the baby. The baby's mother, who has curly short dark hair, is dressed in a floral blouse and dark cardigan. She is standing to the right of the Sister and behind the bassinet, and is looking down at her babe and smiling. Her left hand is resting on the bassinet. The baby has dark hair and has her hand partly covering her mouth. Part of a picture is seen on the wall behind the mother.rdns, royal district nursing service, rdns domiciliary post natal service, rdns domiciary infant and maternal care, rdns dimc

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

This photograph shows one of the aspects of nursing care carried out by the Royal District Nursing Service (RDNS). It shows wound care being given by a Sister to a patient in her own home. The bandage being applied is called a 'Blue line bandage'. which gives firm pressure to the ladies leg.The Trained nurses of the Melbourne District Nursing Society, MDNS, from its inception in 1885, provided wound care to their patients who ranged in age from the very young to the elderly. As research developed better products and dressing materials the methods and medication applied to wounds changed. MDNS received Royal patronage in 1966 and as Royal District Nursing Service, RDNS, the Education department developed programs, such as Wound Care Program and the Leg Ulcer Management Program, to provide their Sisters with methods of best quality care. The Sisters liaised with the patient’s Doctors and Hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctor. RDNS introduced Wound Care Specialists who did assessments and provided advice and support to the District Sisters working in the field. On the left of this black and white photograph is a Royal District Nursing Service (RDNS), Sister, with short dark hair and wearing a white gown, leaning over and bandaging the right leg of a lady. The bandage has a line around the centre. The lady is looking down at the bandaging; she is wearing glasses, and is wearing a dark padded dressing gown edged with white. The lady has her other leg bandaged and a dressing on her forehead. Her right arm is in a collar and cuff sling with her jacket covering most of her arm; the first finger of her left hand is bandaged. She is in her home and is sitting on a floral covered chair, with a white towel over its right arm. The lady has both legs elevated. mdns, melbourne district nursing society, rdns, royal district nursing service, rdns wound care

This photograph depicts a Royal District Nursing Service (RDNS) Sister (Sr.) visiting Mrs. Hodginson and babe in their home. Sr. Wan is weighing baby Tamara as part of the Post-Natal care she is giving. A nurse who is doing her Hospital training is visiting with the Sister and observing. RDNS had a Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres which visited early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Sr. Wan is wearing her RDNS summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock and a dark blue cardigan. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in a hospital in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor at the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in DIMC also had their Infant Welfare Certificate, though Midwifery trained nurses also visited. On the right of the black and white photograph is Royal District Nursing Service (RDNS) DIMC Sister J. Wan, who has short dark curly hair and is wearing a white gown over her uniform, with the white collar and sleeves of her dark cardigan seen. She is laughing as she holds the top ring of hand held baby scales in her right hand; the bottom of the scale has a metal hook which has a sling attached to it with four cotton 'ropes'. Baby Tamara is supported in the sling which is just resting on a sheep skin and bunny rug covered metal framed change table. Sr. Wan has her left hand on the sling. To the left of the photograph is Tamara's smiling mother, Mrs. Lynda Hodginson, and in the centre of the photograph is observer Nurse Sheehan. Mrs. Hodginson is wearing a striped dress with a V neck, and has dark shoulder length hair. Nurse Sheehan has short dark hair and is wearing a white uniform and dark cardigan. A nursing watch is attached to the right hand side of her uniform. Part of a landscape picture can be seen on the wall behind her. A small white fluffy rabbit sits on the left hand side of the change table. Baby Tamara has sparse dark hair and is sucking on a dummy.Photographer's stampmdns, melbourne district nursing society, melbourne district nursing service, royal district nursing service, rdns, mdns midwifery, rdns domiciliary postnatal service, dimc, tamara hodginson, nurse sheehan, sister j. wan, mrs lynda hodginson

An RDNS Sister had previously visited Mrs. Crook in her home and assessed the nursing care she required. Following the Sister's instructions, the Home Health Aide in this photograph, Robin Brown, is assisting Mrs. Crook from her lounge chair onto her walking frame. Mrs. Crook's son, Robert is also assisting his mother. Home Health Aides were employed and trained by Royal District Nursing Service (RDNS) from 1980. They wore a RDNS royal blue uniform, which has a white trim and RDNS badge applied to the left hand side, and a dark blue cardigan. In 1980, a Home Health Aide ‘Pilot study’, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by RDNS Principal Nurse Educator. Pat (Paddy) Rowley, was evaluated as successful. Following this Pilot study, Home Health Aides were employed by RDNS, and after instruction in the RDNS Education department, joined RDNS Centres and worked under the supervision of the RDNS Trained nurses (Sisters). The Sister assessed each patient, then introduced and supervised the Health Aide in the patient procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aide followed each visit. If the Health Aide noticed any change in the patient’s condition, this was reported immediately and the Sister visited. The Sister made routine visits to the patient for review at least monthly. On the left of this black and white photograph is Royal District Nursing Service, Home Health Aide, Robin Brown, who has dark shoulder length hair and is wearing a dark cardigan over her dark coloured uniform which has white piping at the edge. To her right is Mrs. Crook who is sitting froward in her lounge chair. A walking frame, which has a material bag hanging from the front bar, is in front of her. Robin Brown has her left hand on Mrs Crook's back and her right hand under her arm. Mrs. Crook has curly white hair; is wearing glasses which are resting partly down her nose, and is wearing a light coloured cardigan over her dark dress. Part of a necklace of pearls can be seen hanging over her dress. She is smiling and looking at the camera. She has her right hand on the upper part of the right wing of the walking frame and her left hand is on the top hand grip section on the left wing of the frame. To her right, her son, Robert, who is squatted down by the chair, has short dark hair and is wearing a checked shirt. He is holding the left wing of the walking frame with his left hand and his right arm is extended with his hand on his mother's back. Closed floral curtains are seen in the rear of the photograph.Photographer's stamprdns, royal district nursing service, home health aide, home health aide uniform, patient care, mrs crook, mr robert crook, home health aide robin brown

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

This photograph shows the Melbourne District Nursing Service (MDNS), Headquarter and Nursing Home at 452 St. Kilda Road, Melbourne. The cars in front of the building are part of the MDNS fleet of cars and are Australian built Holden vehicles of the 1960s. The MDNS Trained nurses (Sisters) seen are wearing their grey uniform coats and hats which had a red Maltese cross in the centre front. Under their coats the Sisters wore grey cotton frocks. The Melbourne District Nursing Service (MDNS) building at 452 St. Kilda Road, Melbourne was originally called 'Airlie Mansion', the childhood home of Stanley Melbourne Bruce, the Prime Minister of Australia 1923-1929. 452 St. Kilda Road, Melbourne is listed on the Victorian Heritage Register. 'Airlie' was used by Queen Victoria Memorial Hospital nurses as a Nurses Home prior to Melbourne District Nursing Service (MDNS), moving into this building as their Headquarters and Nursing Home in 1953. MDNS was given Royal patronage in 1966 and continued to occupy the building as Royal District Nursing Service (RDNS) until 1996. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state they were sold in 1927. A Motor Auxiliary was formed in 1929 to take Sisters to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia cars 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Black and white photograph of two Melbourne District Nursing Service (MDNS) Holden vehicles parked outside MDNS Headquarters, which is seen in the background of the photograph. To the right is a MDNS Sister, who is wearing her grey peaked hat over her drawn back long hair. and is wearing her grey coat and carrying a square nursing case with the capital letters 'RDNS' written on it; she is standing side-on, looking to her left, and her right hand is on the door handle of the front door of the right hand car. To her left is another car, with a MDNS Sister standing on the grass behind the bonnet. She is wearing glasses and her uniform hat is worn over short dark hair. She is wearing a grey coat, scarf and both gloved hands are holding the handles of bags. On the drivers door of this car the words 'Melbourne District Nursing Service' are written in capital letters. On the far left hand side of the photograph, half of a third Holden vehicle is seen and a large tree is on the nature strip between this and the middle car. Behind the vehicles, bushes and a large tree can be seen on the left hand side behind the cast iron fence. Several other bushes and small trees are seen. In the background is MDNS Headquarters; a large white two storey Italian style building, which has three, roman column, arched Arcadia on either side of a polygon shaped bay window on the ground floor, and three long windows to the left and a three arched Arcade to the right on the second floor. Two Sisters in uniform are standing on the veranda of the 2nd floor between the far right hand arch. To the left and right of the building, parts of single storey hip roof buildings can be seen.melbourne district nursing service, mdns, rdns, royal district nursing service, rdns headquarters, rdns transport, mdns uniforms

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

This photograph depicts a Royal District Nursing Service, (RDNS), Sister administering an injection, which has been ordered by a Doctor, into the left arm of a gentleman who is sitting in a wheelchair in his home. This photograph depicts one of the types of nursing care given by the trained nurses working at RDNS in the late 1960s. The syringe being used is a disposable type which came into use in the middle 1960s.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.To the right in the black and white photograph is a Royal District Nursing Service (RDNS), Sister who is wearing a white gown over her uniform frock, and wearing a peaked grey uniform hat and black shoes. She is standing side-on facing a man on her left who is sitting in a wheelchair. She is holding the barrel of a syringe in her right hand and has her left hand on the end of the plunger of the syringe; the needle of the syringe is in the left upper arm of a gentleman. He is on the left of the photograph and has short dark hair; is wearing dark trousers and a dark patterned shirt and is watching as the Sister gives the injection. A white towel is draped over part of his left arm,. A small table, with nursing equipment on the top, stands beside the wheelchair and in front of the Sister.Photographers stamp and the word 'Publicity'rdns, royal district nursing service, rdns treatment - injection

This photograph depicts one of the forms of nursing care given by Melbourne District Nursing Service (MDNS), Sisters in the home of a patient. In this photograph, the Sister is visiting the home of a lady who is confined to a Negative Pressured Ventilator, also known as an 'Iron Lung', which assists her to breathe. The Sister gave both physical and emotional care to the patient, as well as support and advice to those who were caring for her.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph showing a Melbourne District Nursing Service (MDNS) Sister, who has short dark hair; is wearing a white gown over her uniform and her grey peaked hat with attached RDNS badge. She is attending to a female patient who is lying in a Negative Pressure Ventilator in her home. The Sister is standing behind the Negative Pressure Ventilator, known as an 'Iron Lung', with her left arm extended holding the lid open. The lady is in the foreground, and is lying with her head towards the left of the photograph. She has short dark hair and lies on the bed of the Ventilator with a neck ring visible. Her head is resting on a white covered pillow. Part of a dark coloured pleated curtain can be seen in the right hand side background of the photographPhotographer's stamprdns, royal district nursing service, patient care, mdns, melbourne district nursing service, mdns nursing care - negative pressure ventilator, 'iron lung'

The RDNS Sister is applying a splint to the lady's leg after attending to any other nursing care required. This photograph depicts one of the types of nursing care carried out by the Royal District Nursing Service (RDNS). The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.On the left of this black and white photograph is a Royal District Nursing Service, (RDNS), Sister wearing a white gown over her grey uniform. She is bending over and slightly towards her right; her face is not visible, only the crown of her grey peaked hat is seen. On her right is a lady sitting in a wheelchair with her right leg extended resting on a bed. The Sister has her left hand on, with her fingers holding the strap, and her right hand on the strap below, of a Splint on the upper right leg of the lady who is watching the procedure. The lady has short dark hair and is wearing a grey buttoned up cardigan and dark skirt; she is wearing a black shoe on the foot of her extended leg. Her left leg is bent at the knee and the top of a splint with some of the straps are visible. Part of the bedspread covering the bed has a grey and white pattern. A pair of crutches and a dark drape can be seen behind the Sister and wheelchair. photographer stamprdns, royal district nursing service, rdns patient care

This photograph depicts Post-Natal care being given by a Royal District Nursing Service (RDNS), Sister who is working in the RDNS Domiciliary Infant and Maternal Care (DIMC) section of the Service. The photograph is taken in the home of the mother and baby and the Sister is in the process of putting the baby onto the Baby scales to ascertain the babe's weight. Sisters employed in the DIMC section of RDNS gave Post-natal care to both the mother and her newly born babe when they were discharged early from hospital. This photograph was taken in the year following Melbourne District Nursing Service (MDNS) being granted Royal patronage in 1966 and becoming Royal District Nursing Service. The Sister is wearing the the same grey uniform frock used by MDNS but the badge on her peaked cap has changed from a red Maltese cross to a metal round silver badge with a royal blue circle around the edge with the words 'Royal District Nursing Service' in white capital letters running inside the blue circle.The centre of the badge is divided into three sections; a silver rising sun top and bottom, and a thick royal blue horizontal central strip with 'RDNS' written in large white capital letters. This uniform continued to be worn until 1971 when it changed colour and style. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who trained in a Hospital and was qualified in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth, or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose the patient was transferred to their care. Following birth they gave Post-Natal care to both the mother and babe. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and an Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room at Footscray Hospital, and visiting early discharged Footscray Hospital maternity cases at home. Now as Royal District Nursing Service (RDNS), this service was extended to a Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give post-natal care to the mother and babe. Many Sisters working in this area had a Certificate in Infant Welfare as well as their General and Midwifery Certificates.In the right rear of this black and white photograph is a Royal District Nursing Service, (RDNS), Sister who is wearing a white gown over her uniform, and wearing her grey peaked hat with the RDNS badge visible, looking down at a baby she is about to weigh. The baby has sparse dark hair, is wearing a white singlet and is crying. The Baby scales, which are sitting on a table in front of the Sister, are white with a rectangular base and curved sided tray on the top. The Sister is standing behind the scales, and is supporting the babe's body with her right hand and holding baby's legs with her left hand as she lowers babe fully onto the scales. On the left of the photograph, the mother, who has long dark hair with a hair scarf holding it back, and is wearing a striped frock, is siting on a chair with her arms crossed at her waist, and is smiling at her babe as she observes proceedings.. Photographers Stampmdns, melbourne district nursing society, melbourne district nursing service, rdns, royal district nursing service, rdns domiciliary postnatal service, dimc

In 1964 Melbourne District Nursing Service (MDNS) commenced a Domiciliary Postnatal Service, later called Domiciliary Infant and Maternal.Care (DIMC), when Royal patronage was granted in 1966 (RDNS). The Sisters gave Post-natal care to the mother and babes and visited for support and advice as long as needed. The central RDNS badges on the Sisters hats is made of metal and has 'Royal District Nursing Service' written in the outside royal blue circle. The inner area is divided in three parts, the top and bottom sections are a silver rising sun and the central royal blue horizontal band has the letters 'RDNS' written white capital letters.In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was Hospital trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth, or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose the patient was transferred to their care. Following birth they gave Post-Natal care to both the mother and babe. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and an Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room at Footscray Hospital, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended to a Domiciliary Infant and Maternal Care (DIMC), service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give post-natal care to the mother and babe. Many of the RDNS Sisters who did DIMC had their Triple Certificate (Infant Welfare), though Midwifery trained nurses also visited. Black and white photograph showing two Royal District Nursing Service, (RDNS), Postnatal Service Sisters visiting a mother and her triplets in their home. Both Sisters and the mother are smiling and sitting on a dark coloured couch with each holding one of the babes who are wrapped in light coloured bunny rugs. The Sister on the left is wearing a white gown, with the grey peaks of her uniform showing; her nursing badge is attached to the right hand peak of her uniform. She is wearing her grey peaked hat, with central attached RDNS badge, over her short dark curled hair. To her right is the mother, who has short straight dark hair, and is wearing a white blouse and dark tartan skirt. On the far right is Sister Barbara Weisart, wearing a white gown; with the grey peaks of her uniform showing, and wearing her grey peaked hat with central RDNS badge over her short dark straight hair. A set of white baby scales are seen to her rightPhotographers Stamp. Quote No. GE 13mdns, melbourne district nursing society, melbourne district nursing service, royal district nursing service, rdns, rdns domiciliary postnatal service, dimc, sister barbara weisart

This Sister is working at the Control Centre at RDNS Headquarters, 452 St. Kilda Road, Melbourne where she is receiving a phone call which she will transfer to the appropriate staff member in Headquarters, or if appropriate pass the message onto an RDNS Centre to take action. Central Control was based in the Royal District Nursing Service (RDNS), Headquarters and the Sister working there took and directed all incoming telephone calls to persons in Headquarters or to the appropriate RDNS Centre. Each Centre contacted the Control Sister each morning for any messages received over night. She remained in contact with each RDNS Centre during the day, and in contact with Evening staff after each Centre was closed at 6 p.m. Evening staff contacted Central Control after completing their evening visits, and book work, so the Sister in Central Control knew they were safe and had completed their shift before leaving the RDNS premises. Of a weekend, when reduced staff numbers were working, the same procedure was carried out by the Sister working in each Center's office. In the centre of this black and white photograph is a Royal District Nursing Service, (RDNS), Sister, who wears glasses and has short curly hair, is wearing a watch on her left wrist and is wearing her grey short sleeved uniform with an RDNS cotton badge applied to the top of the sleeve. She is sitting behind a desk and is holding a telephone to her right ear; she has a pen in her left hand and is ready to write in an open white paged book. A typewriter is on the left hand side of the desk and a black telephone can be seen on a shelf adjacent to the desk, A framed rectangular mirror can be seen on the left hand side wall. A shelf, with several books on the left hand side, can be seen attached to the upper part of the wall behind the Sister. Below this a large chart is on the wall and a wooden shelf below itPhotographers Stamp. 'Quote No. GE 14rdns, royal district nursing service, rdns administration

Sister McDonald is visiting a patient to give them nursing care as requested. The photograph depicts the RDNS uniform in 1967. Her coat with the blue background Royal District Nursing Service material badge attached to the top of each sleeve, is worn over a grey cotton uniform dress.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of Royal District Nursing Service, (RDNS,) Sister B. McDonald, wearing her grey uniform coat with the words 'Royal District Nursing Service' written in white on a dark curved material badge attached to the left upper sleeve; she is wearing her grey peaked uniform hat over her dark short hair. She is carrying her rectangular nursing case in her left hand and is opening the gate of a tall white picket fence before entering a patient's home. Number '19' is on the right hand side gate post. Trees can be seen behind the fence on either side of the gate. A two storey white attached house is in the background. The grey front door with white surround, can be seen on the ground floor. Two posts are supporting a balcony which protrudes from the top storey; a safety rail runs around its outer edge. A closed colonial door can be seen behind the balcony on the upper storey.Photographers stamp. Quote No. GE 42rdns, royal district nursing service, rdns uniform, sister betty mcdonald

The Royal District Nursing Service (RDNS) Sister is leaving Headquarters, 452 St. Kilda Road, Melbourne, to administer nursing care to patients in their own homes. The Sisters nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing other procedures, as well as assisting them with general care when required. The Sister is driving an Australian built Holden car of the 1960s which, along with the other parked Holden cars are part of the RDNS fleet of vehicles. From its inception in 1885 the Trained nurses (Nurses) of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing other procedures, as well as assisting them with general care when required. From the early days the Nurses taught the importance of good hygiene, cleanliness, good nutrition in the prevention and curing of disease and in maintaining good health, as well as giving advice and support to the patient and their carers. The Sisters liaised with the patient’s Doctor. District has had various modes of transport over the last 130 years. At first the Nurses walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded bicycles, public transport, District cars, the use of a Motor Auxiliary, nurses own cars, and even a motorcycle were used, and all these forms were intermingled until RDNS had its own fleet of vehicles. By 2009 there were 598 cars in the fleet and the nurses travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. The Royal District Nursing Service (RDNS) building at 452 St. Kilda Road, Melbourne was originally called 'Airlie', the childhood home of Stanley Melbourne Bruce, the Prime Minister of Australia 1923-1929. RDNS, then named Melbourne District Nursing Service (MDNS) moved into this building as their Nurses Home and Headquarters in 1953. MDNS was given Royal patronage in 1966 and continued to occupy the building until 1996. 452 St. Kilda Road, Melbourne is listed on the Victorian Heritage Register. In the foreground of this black and white photograph are three cars on St. Kilda Road passing Arthur Street on their left. In the centre is a Royal District Nursing Service, (RDNS), Sister sitting at the driving wheel of her RDNS grey Holden car in Arthur Street, at the corner of St. Kilda Road. Behind the car are two round poles inset in the nature strip near the kerb; the pole on the right holds the street signs 'Arthur St' which points to the left of the photograph, and 'St Kilda Rd' points towards the number '452' attached to a square concrete column and metal spiked fence running down the right of the photograph behind the nature strip. In the background of the photograph is the corner view showing two sides, part in Arthur Street and part in St. Kilda Road, of RDNS Headquarters which is a large white two storey Italian style building, which has arched Arcadia on the ground floor, and an arched Arcade on the second floor; a flat roof with two chimneys is seen. A garden with trees can be seen running in front of both sides of the building and behind the cast iron spiked fence. In Arthur Street, to the left of the large building is a two storey white building with a tiled roof. It has a white solid fence in front of it Parked at the kerb in front of this building, and the section of RDNS large white building in Arthur Street, are three other RDNS grey Holden cars. Parts of a large trees are seen on the left and right of the photograph.Photographers stamp. Quote GE 46rdns, royal district nursing service, rdns transport, rdns headquarters

RDNS Sister, Betty. McDonald, is about to enter the home of a patient to administer nursing care.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of Royal District Nursing Service, (RDNS), Sister B. McDonald, who is wearing her grey uniform coat, with RDNS insignia on the upper sleeve, and her peaked grey hat over her dark short hair. She is holding her rectangular nursing case in her left hand. Her right arm is through the long handles of a black bag which is hanging under it, and her hand is on the top of the gate; Number '39' is attached to the top of the gate post. A tall broken paling fence, with many gaps between the palings, can be seen running along the edge of the footpath to the left and right of the gate. The fence is leaning over in places. Bushes can be seen behind the fence and part of a white building is seen in the background.Photographers stamp. Quote No. GE 5rdns, royal district nursing service, rdns uniform, rdns patient care, sister betty mcdonald

Sister McDonald is visiting a patient in her home to administer nursing care. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of Royal District Nursing Sister, (RDNS), Sister B. McDonald, wearing her grey uniform coat, and her grey peaked hat over her dark short hair and is carrying her rectangular nursing case in her left hand. She is standing on the wooden veranda between the open wire door and the house; her right hand is knocking on the main door of a patient's home. Behind her, an electricity meter can be seen on the wall of the house behind the wire door. The door of the house sits near the corner of the horizontal weatherboard house, whose weatherboards can be seen to the left and right of Sister McDonald. Part of a fluted veranda post can be seen to the right of the photograph and two sheets of corrugated iron can be seen in the foreground.Photographers stamp. 'Quote No. GE 55rdns, royal district nursing service, rdns uniform, rdns patient care, sister betty mcdonald

The photograph shows a RDNS Sister driving her RDNS car along a dirt road to reach a patient to administer nursing care. It shows the typical conditions of the roads the RDNS trained nurses encountered in some districts. The photograph also depicts an Australian made Holden car of the mid 1960s Melbourne District Nursing Society, later Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 years. At first their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded bicycles, public transport, District cars, the use of a Motor Auxiliary, the Trained nurses (Sisters) own cars, and even a motorcycle were used, and all these forms were intermingled until RDNS had its own fleet of vehicles. 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. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.In the centre of this black and white photograph is a Royal District Nursing Service, (RDNS), Sister at the wheel of her RDNS Holden car, which has a black rear Victorian number plate with 'JPH - 516' written in white letters. Through the back window you can see part of the Sister's uniform and her peaked hat worn over her short curled hair. Her left hand is on the upper part of the steering wheel. The dirt road on which she is travelling has mud and some grass tufts either side of it. On the right of the car is a hip roof brick house which has a single storey front area with attached two storey section at the rear. A short open Besser brick fence, with a white wooden gate, is seen running from the front of the property to the house, and beyond this a clothes line and shed. Beyond this, part of a tall paling fence is seen from the front of the property to the shed. The top section of the next brick house is seen beyond the fence; it has a white railed veranda along part of it and the house has a flat roof.Photographers stamp. Quote No. GE 90rdns, royal district nursing service, rdns transport, rdns patient care

This photograph shows the typical road conditions encountered by RDNS District Sisters during their days work visiting patients to administer nursing care. From its inception in 1885 their Trained nurses (Nurses) of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing other procedures, as well as assisting them with general care when required. District Nursing has had various modes of transport over the last 130 plus years. At first, from 1885 as MDNS, the Nurses walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used; bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford 'T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state they were sold in 1927. A Motor Auxiliary was formed in 1929 to take their Trained nurses (Sisters) to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled until, having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own full fleet of vehicles by the mid 1960s. In many areas there were unsealed roads, in various conditions, which the Sisters negotiated to reach their patients to give care. By 2009 there were 598 cars in the fleet and the nurses travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. In the centre of this black and white photograph is a Royal District Nursing Service, (RDNS) Sister in her RDNS grey car driving up the lower section of a hill on a dirt road. The car's rear black Victorian number plate, with 'JPH - 516' written on it can be seen. Dust is rising on either side of the car. In the foreground the road runs downward to a dip and then up the hill; trees are along either side of the road, and dirt and stones are seen on the side of the road in the left foreground. Photographers stamp. Quote No. GE 95rdns, royal district nursing service, rdns transport

The MDNS Sister has given nursing care to the gentleman and has transferred him safely into the wheelchair. Whilst doing this the Sister demonstrated the transfer technique to the lady in the photograph who is probably his wife. The Sister is wearing the MDNS uniform of the day, a grey cotton dress and red cardigan, under her white gown. She has a red Maltese cross applied to the centre of her grey peaked hat.From its founding in 1885 the Hospital Trained nurses of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing many other procedures, as well as assisting them with 'general care' when required. The Sisters needed to transfer the patients when required and also taught family members safe transferring techniques to enable them to care for their loved ones. RDNS employed a Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on patient’s family members and the RDNS nursing staff . Where possible the Sisters worked towards independence, using equipment such as shower seats, rails and hand showers. The Sisters liaised with the patient's Doctor and supported and advised the patient and Carer of any further help to assist them.On the left of the black and white photograph is a Melbourne District Nursing Service, (MDNS) Sister, who is wearing glasses and is looking at the camera. She is wearing a white gown over her uniform, with the grey collar and the dark sleeves of her cardigan in view and her grey peaked hat, with an emblazoned Maltese cross in the centre front, sits over her short dark curly hair. Both of her arms are extended and resting on either side of a pillow she is straightening. The Sister is standing next to wheelchair bound man who has short dark hair and is wearing dark trousers and a light coloured jumper. On the right hand side of the wheelchair a lady, wearing a light blouse, grey jumper and tartan skirt, is standing with her left hand resting on the left arm of the man.They are both smiling and looking slightly towards the right in the photograph A 'monkey bar hand grip' is attached to the bed by a pole and hangs on a white chair over the bed. A window covered by a blind is behind the Sister, with a light curtain to the left..Photographers stamp. Quote No. DW 84mdns, melbourne district nursing service, patient care, rdns, royal district nursing service

The Melbourne District Nursing Service (MDNS) Sister is massaging the left hand of the patient. The Sister is wearing her grey cotton uniform dress and red cardigan under her white gown. A red Maltese cross emblazoned on her peaked hat. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.On the left of the black and white photograph is a a lady laying in her bed, and to her right is a Melbourne District Nursing Service, (MDNS), Sister sitting beside her. The Sister is wearing glasses, and has a white gown over her uniform; with the grey collar of her uniform and dark sleeves of her cardigan in view. The Sister is wearing her grey peaked uniform hat, with a Maltese cross emblazoned in the centre front, over her short dark curled hair. The Sister has her hands on the left hand of the lady, who is wearing glasses, has white curly hair, and is wearing a crocheted shawl over her grey nightgown. Her head is resting on the pillow on her bed which has a dark bedhead, .Light coloured bedding covers most of her body.Photographers stamp and 'Quote No. DW 86'mdns, melbourne district nursing service, mdns patient care