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

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

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

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

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

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

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

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

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

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

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

This is a typical situation confronted by RDNS Sisters when travelling to the home of a patient to give them nursing care. The Sister is driving an Australian built Holden vehicle made in the mid 1960s which was part of the RDNS fleet of cars.From its inception in 1885 the 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 other procedures, as well as assisting them with general care when required. 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. 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 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 those that gave nursing care in the Launching Place, Yarra Junction, Warburton and Powelltown area used a large paper map and once the particular house was found an 'x' was marked to denote the street and approximate site of the house to assist the visiting Sisters. On the right of the black and white photograph is a front-on view of Royal District Nursing Service, (RDNS), Sister driving her RDNS Holden car, with Registration number 'JPH 516' on the front number plate, on a dirt road approaching an intersection. Seen on the left hand side of the photograph is the cabin view of a truck as it is about to enter the intersection. A white house with a pitched roof can be seen on the left hand side of the photograph behind the truck. A lamp post is seen in the centre of the left hand side nature strip behind the bonnet of the truck. Trees line the road the RDNS car is traversing, and in the background behind the RDNS car, a hill with houses can be seen. photographers stamp. Quote No. GE 102rdns, royal district nursing service, rdns transport

Miss Evans, Director of Nursing of Royal District Nursing Service, (RDNS), is holding an Education session with RDNS staff. Her uniform is a grey skirt and jacket with the RDNS badge emblazoned on her right shoulder. The badge has a white background and black writing. The RDNS Sisters are wearing their grey uniform frocks and red cardigans. Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses, through the hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with Sisters receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior trained nurses received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration and several travelled overseas visiting nursing organizations viewing their public health and district nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home, and to Mount Royal Hospital to observe the care of clients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Registered Nurses. Black and white photograph showing Miss Mary Evan standing in the centre rear of the photograph. She is with five RDNS Sisters who have short hair, three with curly hair and two with straight hair, who are sitting on chairs with white paged books resting on 'over the lap' tables. Three Sisters are seated in front of Miss Evans, and another two Sisters are sitting in the foreground. Miss Evans, who has short dark curled hair, is wearing her grey uniform jacket which can be seen with the RDNS cloth badge visible at the top of her right sleeve. She is bending over one of the Sisters and has her right hand pointing to something on the Sister's book. Closed light curtains are seen in the rear of the photograph and a dark desk to the right. On the wall above this, part of a blackboard can be seen.Photographers stamp. Quote No. GF 28rdns, royal district nursing service, rdns education, miss mary evans, rdns d.o.n

This photograph was taken just a few years after the District division of the 'Melbourne District Nursing Society and After Care Hospital' separated in 1957. The District Division then became known as 'Melbourne District Nursing Service'. They moved into their Headquarters at 452 St. Kilda Road, Melbourne which was used as the Nurses Home as well as for Administrative purposes. The Sisters left from there each day to do their rounds and returned to do their book work before retiring at the end of the day. This photograph depicts the winter uniform worn at this time; a grey felt beret which had a red Maltese cross attached in the centre; a grey cotton frock and red cardigan, and a grey woolen coat, some with a grey belt, worn over their uniform.In 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS), the first Society of its kind in Australia, was founded in February 1885 with one Trained nurse (Nurse), and a second employed six months later, working in the now CBD ie. from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality trained nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion and dressings, and supplying equipment on loan, such as feeding mugs, bedpans, air-cushions, splints, bed cradles feeding mugs and providing clean bed linen and nightdresses as necessary. Trained midwives began home births in August 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. The Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Society built, then opened, the After-Care Home, (later called After-Care Hospital), in 1926, for their patients, and patients from Hospitals. Many children were nursed there, some long term during the Polio epidemic; the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Trained nurses (Sisters) and nurses and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their Committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. A Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. In 1957 the Hospital and Charities Commission decided to take over the After-Care Hospital, so the 'Melbourne District Nursing Society and After-Care Hospital' separated and the 'Melbourne District Nursing Service' was formed, setting up Headquarters at 452 St. Kilda Road. Royal patronage was granted in 1966, now becoming the Royal District Nursing Service, (RDNS). Liaison with public hospitals began with a District nurse attached to a hospital visiting patients before going home. Education continued to be at the forefront of District with research by RDNS Educators and programs being implemented. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as Amputees, those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and White photograph of seven (some partly hidden) Melbourne District Nursing Service (MDNS) Sisters wearing full winter uniform of grey berets and grey long coats, with lapels, over their uniform which is partly seen on one Sister. Some are on a path, and others walking to the open metal gate; one Sister is between two tall, square, dark grey concrete columns. Looking at the photograph, two Sisters have turned left onto the footpath. These two Sisters are carrying oblong leather type bags in their left hand and the Sister between the columns is carrying a white soft material type bag. The Sisters seen have short dark hair under their berets. White plaques with the black numbers '452' are attached to the top 1/3 of each column and an arched grey concrete fence with brick top runs to the left. Behind this are two medium size leafless trees. A metal spiked fence runs from the column to the right of the photograph. Attached to this, near the column, is a white plaque with 'Melbourne District Nursing Service Headquarters' written in black. In the rear is a light grey two story Italian style building with a polygon shaped bay window to the left on the ground floor. It has a long window in the front and another on the side. To the right of this is a veranda with two concrete arches, separated by a roman column. A door can be seen behind the first arch. Above the bay window on the second story are three long arched windows, and to the right of that an arched opening with a roman column separating the partially seen next window. A concrete balustrade is seen at the front of the second story.melbourne district nursing service, headquarters, mdns, nurses, nurses uniforms, royal district nursing service, rdns

This photograph is a record of Head Nurse, Sister Lee-Archer, and her staff of six Trained nurses, 'Nurses', of the Melbourne District Nursing Society (MDNS) outside their new Nurse’s Home and Headquarters rented at 5 Royal Terrace, Nicholson Street, Fitzroy. The bicycles seen were the first mode of transport purchased by MDNS and allowed these Nurses to extend the nursing visits they made into more Melbourne suburbs.The Melbourne District Nursing Society (MDNS) moved into larger premises at No. 5 Royal Terrace, Nicholson Street, Fitzroy in May 1904. Head trained Nurse, Lee-Archer and her staff of six Trained nurses pose outside the new ‘Nurse’s Home’ at 5 Royal Terrace, Nicholson Street, Fitzroy. The Nurses worked in the districts of North and West Melbourne, the City Proper, Carlton, Richmond, South Melbourne, Fitzroy and Collingwood making 17,954 visits during the year. The Society had a set of bye-laws which outlined the work conditions for the Nurses. Section 111.1 states ‘Each nurse shall be ready to go to her district at 9 am. She will be expected to visit urgent cases on Sundays, and will be required to work eight hours on each week day, to wear the special uniform, and live in the Home of the Society’. In February 1885, only 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS), the first Society of its kind in Australia, was founded with one Trained nurse, known as 'Nurse' in those days, and a second employed six months later. They liaised with Doctors and worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness, fresh air and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel for her use. They loaned equipment, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing clean bed linen and nightdresses as necessary. Trained Midwives began home births in late 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. This was arduous work, particularly in the heat of summer. As the work increased a third Nurse was employed but due to this arduous work many Nurses only remained with the Society for several months. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. In 1913 a Nurse had her Board and residence, uniforms, bicycle and laundry expenses provided and was paid £50 a year for her first six months. At the end of a year her salary was increased by £5, and later she earns £60 a year. Over the years the nurses complained that their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. Black and white photograph of six Trained nurses and their Matron, who has her hair swept up, and is wearing a long white uniform with belt, and white cap; part of her veil is seen hanging down her back, outside their Nurses Home The trained. nurses are holding their two wheeled bicycles, and are wearing long grey frocks, white collars and belts and straw hats with a Maltese cross in the centre of headband, this is held in place with scarves over the hat and tied under their chins. Their nursing bags are strapped to the handlebars of the bicycles. A black sign with the white capital letters 'Melbourne District Nursing Society. ....nursing the sick poor in their own homes' is on the metal spiked fence. The building is made of brick and five long sash windows are seen in the upper section. A metal roofed veranda, held up with four posts and two brick columns, divides the upper and lower section. A door and three long windows are seen which are partly obscured by several bushes behind the fence.melbourne district nursing society, 5 royal terrace, nicholson st carlton, nurses home, bicycles, mdns transport, royal district nursing service, rdns, mdns trained nurses, sister florence lee-archer

This photograph was taken four years after bicycles were purchased by the Melbourne District Nursing Society (MDNS) and is a record of the first mode of transport used by their Trained nurses, and a record of the change of head ware needed now bicycles were in use. The uniforms were grey with white collar, belt and cuffs and a red Maltese cross was in the centre of the pith helmet. Prior to the use of bicycles the trained nurses walked to their patients and had become exhausted, particularly in summer. The bicycles were a solution to this problem, and now they could visit more patients and the Society's areas (districts) could be extended. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS), the first such Society in Australia, was founded with one Trained nurse, called 'Nurse' in those days, and a second employed six months later. They worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets, clean bed linen, and nightdresses as necessary. Trained Midwives began home births in late 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. This was arduous work, particularly in the heat of summer. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. The Nurses provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. Over the years the Nurses complained that their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. Black and white photo of a group of ten (one partially hidden at rear) Melbourne District Nursing Society (MDNS) trained nurses, with each standing with their bicycles in front of a spiked metal fence.The Nurses are wearing their MDNS uniform long grey frocks with white collar, cuffs and belt and white pith helmets with a central Maltese cross. Nursing bags are strapped to five of the bicycles. A large pedestal urn is seen to the left behind the fence between the 3rd and 4th nurse. Bushes and trees are seen in the background. melbourne district nursing society, mdns, nurses, uniforms, mdns transport, mdns equipment, rdns, royal district nursing service

Sister Rignall is undergoing In-service education at RDNS and is wearing the grey RDNS uniform of that era.Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses who trained through the Hospital training system were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with nurses receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in this In-service Education and established the MDNS, later called RDNS, Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior trained nurses received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and district nursing systems. Many programs were run at RDNS, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home, and to Mount Royal Hospital to observe the care of clients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin did a Post Basic Course in Psychiatric Nursing and included this area in her education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. Black and white photograph showing Royal District Nursing Service (RDNS), Sister J. Rignall using the Library facilities at RDNS. Sister Rignall has short curly hair and is wearing her short sleeve grey uniform frock; the RDNS insignia is seen at the top of her left sleeve. She is standing and looking down at a book she is holding. Shelves of library books are seen running behind her on her left hand side.Photographers Stamp and Quote No. GW 94melbourne district nursing society, mdns, royal district nursing service, rdns, rdns education, rdns library, sister j. rignall

The Royal District Nursing Service (RDNS) Sisters are using a hoist to transfer a lady who has limited mobility into her wheelchair. The photograph is taken in the lady's home. From the founding of the Melbourne District Nursing Society (MDNS), in 1885, known as the Royal District Nursing Service (RDNS) from 1966, equipment was loaned and demonstrated to patients, and their family members, to enable them to care for their loved ones in their home. RDNS employed a Physiotherapist who taught RDNS staff the correct transferring techniques. New lifting techniques, such as the use of a hoist, was taught to RDNS staff and were used in patient's homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Coloured photograph showing Royal District Nursing Service (RDNS), Sister Helen Pelosi on the left hand side. She has short dark hair; is wearing a a light blue apron over her RDNS uniform, and is moving a lady in a hoist to a wheelchair. Another RDNS Sister, who has short blonde hair, is wearing her RDNS uniform of Royal blue V neck tunic style frock, with part of her white blouse seen and a navy blue cardigan. She has her right arm extended towards the top of a hoist. The lady is laughing and is suspended in a sling attached to the metal hoist. Around her neck is a white scarf with blue dots which is hanging over her red jumper. She is wearing a blue dress and long dark socks. Both her hands are extended upward holding onto the metal cross bar of the hoist. Part of a wheelchair is seen in the left foreground. Open long gold curtains with voile curtains in the centre can be seen in the background.royal district nursing service, rdns, patient care, rdns equipment, sister helen pelosi

This photograph is taken in Mrs. McDonald's home and she is reading information provided to her by Sister Faye Cook of the Royal District Nursing Service (RDNS) who is visiting to provide her with nursing care. Written communication is required between Mrs. McDonald and Sr. Cook. Sisters from the Royal District Nursing Service (RDNS) used various means to communicate with their patients who had various health conditions. Sometimes this was by written word, using interpreters or using digital devices. The RDNS Education department wrote instructions for patients to follow for various conditions and treatments to assist them in their care. The attending Sister discussed the instructions and left the leaflet with the patient. Examples of instruction included on how to sterilize dressings and equipment in the home and another giving information and instructions on diabetic care.. Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses (Nurses) who trained through the Hospital training system were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in this In-service Education and established the MDNS, later called RDNS, Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and district nursing systems. Many programs were run at RDNS, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home, and to Mount Royal Hospital to observe the care of clients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin did a Post Basic Course in Psychiatric Nursing and included this area in her education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Registered Nurses. Coloured photograph of Sister Faye Cook of the Royal District Nursing Service (RDNS), sitting with Mrs McDonald who is reading the top page of a white writing pad. On the left, sitting 'side on' looking at Mrs McDonald, is Sister Cook who has short dark hair, and is wearing her pale blue RDNS apron over her RDNS royal blue V neck tunic style frock which is over her short sleeve white blouse; she is wearing blue stockings. She is seated on a striped low stool in Mrs. McDonald's room. Mrs.McDonald is to her right, and is seated in a bone and brown patterned lounge chair with wooden arms. She has a bone coloured wrap over her hair, and is wearing a dark brown V neck jumper over a deep pink frock. She is hoding a magnifying glass in her right hand and is reading information on a white writing pad which she is holding in her left hand. In the rear of the photograph is a gas type fire set into a fireplace. A white cupboard with a drawer is seen to the right hand side. The wall behind is vertical boards.Red coloured 'Kodak' stamps. Handwritten information.royal district nursing service, rdns, rdns education, mrs mcdonald, sister faye cook

A Melbourne District Nursing Service (MDNS) Sister is giving nursing care to a lady in her own home. The Sister is wearing the grey uniform dress of that era under her gown. Her grey beret has a red Maltese cross applied to its centre front. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Melbourne District Nursing Service and from 1966 Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of a Melbourne District Nursing Service (MDNS), Sister attending a lady in the bedroom of her home. The Sister, who is smiling, is wearing a white gown over her grey uniform with part of the collar visible, and her grey uniform beret over her short dark hair. She is standing to the right of the bed looking at the lady, and has her right arm extended touching the pillow on the bed. With her other hand she is holding the right hand of the lady. The lady, who is smiling, has short dark swept back hair and is lying on her left side against two pillows on the bed; she is covered with light coloured bed coverings, A metal type, pale colour with dark rim, wash basin is sitting on a white wooden chair to the front of the Sister. A towel is hanging over the back of the chair. On the bottom left of the bed is a magazine with the word 'Woman' and below this a picture of a cat, on its cover. A small table with a lamp on it is behind the Sister and part of a concertina door to her rear right.Photographer Stamp. Quote No. 2568melbourne district nursing service, mdns, mdns patient care

This photograph shows a Melbourne District Nursing Service (MDNS) Sister is visiting the lady in her own home and is giving medication in the form of an injection which has been ordered by a Doctor. The Sisters is wearing her grey cotton uniform frock under her white gown and her grey peaked hat. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Melbourne District Nursing Service and from 1966 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 Trained nurses (Sisters) provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph showing a Melbourne District Nursing Service (MDNS), Sister on the left of the photograph giving an injection into the upper right arm of a lady. On the right of the photograph is an elderly lady who is sitting on a chair, she has white short curly hair; is wearing glasses and wearing a black and white patterned dress. Her head is turned to her right and she is smiling at the Sister.as she holds up the sleeve of her dress with her left hand. The MDNS Sister, who is wearing her uniform peaked grey hat over her short blond hair and wearing a white gown over her grey uniform with peaks just seen, is smiling at the lady. In both hands she.is holding a glass and metal syringe; the needle is inserted in the lady's arm.Photographer stamprdns, royal district nursing service, melbourne district nursing service, mdns, mdns patient care - injection

RDNS Sister Pilmore is visiting a babe and mother to administer Post Natal nursing care and give health advice. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.On the left of the black and white photograph is the side on view of a seated Royal District Nursing Service (RDNS), Sister Kaye Pilmore, who is visiting a mother and her babe in their home. On the right the mother, who is seated, has dark shoulder length straight hair, and is wearing a white sleeveless frock. She is looking at the Sister while she holds her dark haired baby on her knee. The babe is wearing a light coloured top. Sister, Pilmore who has dark short straight hair, is wearing her RDNS summer uniform of a white short sleeve blouse under a dark V neck tunic style frock with the RDNS insignia on the upper left. She is holding a pen in her left hand. Closed checked long curtains are seen in the background of the photograph. The partial dark haired head of another person can be seen in the left hand side foreground.. G 155 is stamped in green inkrdns, royal district nursing service, rdns patient care, sister kaye pilmore, rdns domiciliary infant and maternal care (dimc)

This photograph shows some of the information documents displayed on boards during an Education session on Palliative Care run by the Royal District Nursing Service Education Department.Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration and several travelled overseas visiting nursing organizations viewing their public health and district nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home, and to Mount Royal Hospital to observe the care of clients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS SistersColoured photograph of a Royal District Nursing Service (RDNS) Sister standing in front of a Palliative Nursing Display board. The board has a white banner across the top with the dark blue words 'Royal District Nursing Service' written in capital letters. There are several light coloured background posters displayed on the large dark coloured display board. The Sister, who has her dark hair drawn up, is wearing a RDNS blue and white patterned blouse and short sleeve V neck dark blue jumper with a name badge attached on the upper left. The Sister is holding.a white sheet of paper. Part of a red covered table is seen in front of her. A mid green board with documents attached to it is behind and to the right of the Sister. Behind this is a pale green wall with part of a bench and two large windows showing a room beyond.royal district nursing service, rdns, rdns palliative care nursing, rdns education