Sr. Pat (Paddy) Rowley is the Principal Nurse Educator at RDNS and is giving a lecture to RDNS Sisters in the Education Department at 452 St. Kilda Rd, Melbourne. She is wearing the RDNS summer uniform of a white short sleeve blouse under a royal blue V neck tunic style frock with the RDNS insignia on the upper left.Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS Sisters attended several hospitals to observe and learn special care needed to some patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Sisters. This black and white photograph shows Royal District Nursing Service (RDNS) Sister Pat (Paddy) Rowley and seventeen (some partly hidden), Royal District Nursing Service (RDNS) Sisters. The bulk of the photograph shows the front view of three rows of RDNS Sisters sitting at tables which have books and sheets of paper on them. The Sisters are wearing a variety of day clothes. In the right foreground of the Photograph is a table containing papers, and standing to its right, facing the group, is the back view of Sr. Rowley, who has short dark hair and glasses. She has her left hand on a sheet of paper on the table. She is wearing her RDNS uniform of a white short sleeve blouse under a dark tunic style frock. In the rear of the photograph a brick fireplace can be seen with some books and a vase of flowers on the mantelpiece. On the right is a long curtain, some lockers and an open wooden door with glass panel. Some of the Sisters named are:- Ann Greenwood, Judy Peter, Ethel Fullarton, Barbara Lovell, Shirley Lewis, Jane Ball..Barry Sutton Stamp. Quote LY 68royal district nursing service (1966-2017), rdns, rdns education, sister ethel fullerton, sister barbara lovell, sister shirley lewis, sister jane ball, sister pat (paddy) rowley, sister ann greenwood, sister judy peter

This black and white photograph shows a group of RDNS Sisters who are part of the Post Basic Community Nursing Course. They are receiving education from Sr. Pat (Paddy) Rowley, RDNS Principal Nurse Educator. The session is being held in the Education Department at the Royal District Nursing Service Headquarters, 452 St. Kilda Rd, Melbourne.The RDNS winter uniform worn is a blue/grey skivvie under a blue/grey V neck tunic style herringbone winter material frock.Melbourne District Nursing Service ran its first Post-Basic Course for community nurses in 1962. Sisters attended the course for 12 weeks. The course ran annually until the mid 1990s. Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained nurses (Nurses) through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of RDNS Sisters. This black and white photograph is of a group of seven Royal District Nursing Service (RDNS) Sisters sitting in a semi-circle in two rows at single small two shelf tables. There are open white paged books or papers on each table and some of the Sisters have pens in their hands. The Sister sitting in the front far right is Sr. Affleck, who has dark short curly hair. The other Sisters have dark short hair in various styles. Further right in the photograph stands Sr. Rowley, who has dark short hair and is wearing glasses. She has her left hand supporting a torso of an anatomical model which is sitting on a table slightly to her left. She and the Sisters are looking at the vertebrae down the spine of the model. Another empty table is in front of the semi-circle and it sits in the centre foreground of the photograph. In the rear between Sr. Affleck and Sr. Rowley, a piece of equipment stands on a table. To the right of the photograph part of a large blackboard can be seen. The Sisters are wearing light grey skivvies under a darker V neck tunic style frock with the RDNS insignia on its upper left.Photographers stamp. Quote No. LD 8rdns education, rdns uniform, royal district nursing service, sister pat (paddy) rowley, sister margaret affleck

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

In 1930 the Society were pioneers in opening an Ante-Natal Clinic at the Melbourne District Nursing Society (MDNS) After-Care Home, 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. This image was taken in the Ante-Natal Clinic and shows some of the equipment used at that time and the uniforms worn by Trained nurses (Sisters) in the 1930s. Melbourne District Nursing Society (MDNS) was founded in 1885 and only nurses who had trained in a Hospital Training School and were fully qualified were employed by the Society. It commenced with one Trained nurse (Nurse), and another employed six months later; both walking amid the slums of inner Melbourne administering nursing care to the sick poor. The Society decided to commence a Midwifery Service and Nurse Fowler, who had previously worked for the Society, was re-employed as their first Trained Midwife. She began home births in August 1893 giving some Ante Natal care, taking midwifery bundles and providing clothes for the babe and mother as needed. Following birth, she gave Post-natal care to the mother and babe twice a day for three days and then daily for a week, and longer if required. She resigned after twelve months and Nurse Wilkie was appointed to the position. As well as walking, the Nurses used Public transport in the limited areas it ran, though a taxi was used by the Nurses and Midwife in emergencies and at night. As the Society expanded it rented premises until it was able to purchase it's own Nurses Home at 39 Victoria Parade, Collingwood in 1914. 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. Land was procured next to No. 39, and the Society built the After-Care Home at 45 Victoria Parade, for these patients, and for patients from Hospitals. It was opened in July 1926 and the name of the Society then became ‘Melbourne District Nursing Society and After-Care Home’ (‘Hospital’ from 1934) The Ante-Natal Clinic at the Melbourne District Nursing Society After-Care Home was opened on the 23rd of September 1930 and MDNS Midwifery patients were encouraged to attend. Prior to the opening of the clinic Ante-natal care was not considered important, but within a short time 100 percent of MDNS Midwifery patients were attending. During 1934 the Women’s Welfare Clinic, including at the time a very controversial Family Planning Clinic, the first of its kind in Australia, was opened to support women at risk following multiple and difficult pregnancies. The Clinic gave advice on birth-control and was attended by their own patients at first, but then accepted patients from Melbourne public hospitals until their own clinics were opened.Digital image showing a Doctor and three Melbourne District Nursing Society (MDNS) Sisters attending a patient in the Ante-Natal Clinic at the After Care Hospital. In the forefront is a set of scales standing on the floor, behind which is the lady lying on a wooden framed bed with the base slightly raised at the top end supporting a white pillow and the lady's head. The lady has short dark hair and her frock can be seen to her waist; the rest of her body is covered by a white sheet and dark coloured blanket. Behind her and to the right of the image, are two Sisters wearing dark coloured long sleeved uniforms which have a belt and white collar; they are both wearing white veils over their short dart hair. To their left is a Doctor who has short dart wavy hair and is looking down at the lady. He is wearing a long white gown and has a stethoscope in his ears with the other end held in his right hand. To his left is another Sister who is wearing a white veil over her dark curled hair, and is wearing a long white gown. In the rear between the Doctor and Sister a hand basin can be seen. On the far left of the picture a trolley with two cloth covered shelves can be seen; a basin and squat bottle sits on the top shelf and kidney dish on the lower one. Behind this, part of a window can be seen.after- care hospital, 45 victoria parade collingwood, melbourne district nursing society (1885-1957), ante-natal clinic, after-care home, mdns midwifery, rdns, royal district nursing service

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

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

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

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

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

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

This photograph shows 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

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

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

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

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

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

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

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

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

Miss Evans, the Director of Nursing of Royal District Nursing Service (RDNS) is holding a meeting with some RDNS Sisters in a room at RDNS Headquarters, 452 St. Kilda Road, Melbourne. Mary Evans was born in Adelaide in 1915. She completed her General Nursing Training at the Royal Adelaide Hospital and her Midwifery Certificate at the Queen Victoria Memorial Hospital in Melbourne. Mary worked in the Midwifery section of Melbourne District Nursing Society from 1943–1945, and then qualified as a Maternal and Child Health Nurse. Gaining a Scholarship from MDNS in 1959, she studied and investigated District Nursing practices in England, Sweden, Denmark, Norway, Finland, Canada and the USA, which had a profound impact on the planning of MDNS. As Deputy Matron, then Matron from 1963, she began implementing her 5 point plan of - Education, Liaison, Ancillary Services, MDNS Centres in strategic areas and Home Health Aides. Miss Mary Evans retired as Director of Nursing of, the now, Royal District Nursing Service in 1978 and became an adviser to the Australian Council of Community Nursing Services. In 1981 she was awarded an O.B.E. for services to District Nursing, and as recognition for her leading role in Community nursing in Australia. From 1986-1990 she was heavily involved in the running of the Baxter Retirement Village. She was also Vice President of the Airdrie Retirement place for nurses in Canterbury. Mary Evans was placed on the Honour Roll of Victorian Women in 2001. Miss Mary Evan, O.B.E. died in early 2004.Black and white photograph of Miss Mary Evans, Director of Nursing of the Royal District Nursing Service (RDNS), with a group of RDNS staff. Miss Evans is sitting in a floral patterned lounge chair on the far right hand side. The other staff are sitting in a semi-circle in matching lounge chairs and couches. In attendance are Sisters: P. Holdsworth, B. Harris, E. Holland, M. Campbell, H. Beckett, J. Wilkinson, J. Tarn, E. Anderson. Some are partly hidden. Miss Evans has short dark curled hair and is wearing her grey uniform skirt and jacket. The rdns insignia can be seen on her upper left sleeve. The Sisters are wearing their grey short sleeve uniform frocks; some are wearing cardigans. The RDNS Insignia can be seen on the upper sleeve of some Sisters. A small round table with papers on it, sits beside Miss Evans and a rectangular coffee table in front of some of the Sisters. A plain carpet is on the floor and in the background two windows with long side curtains can be seen.Photographer Stamp. Quote No. 5 Aroyal district nursing service, rdns, rdns matron, miss mary evans, sister pat holdsworth, sister betty harris, sister e. holland, sister m. campbell, sister h. beckett, sister joanne wilkinson, sister joan tarn, sister ellen anderson

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

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

Miss Wright is the Education Director of Royal District Nursing Service (RDNS) and is giving a lecture to the RDNS staff. Two of the RDNS Sisters are wearing their summer uniform which was a royal blue V necked tunic style frock, with the RDNS badge emblazoned on the upper left hand side, over a short sleeved white blouse. Three of the Sisters are wearing their winter uniform of a blue/grey skivvy under a blue/grey herringbone V neck tunic style winter material dress.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. Sister Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters graduated from the College of Nursing in Community Health, Education and Administration and several travelled overseas visiting nursing organizations viewing their public health and district nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic 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 SistersBlack and white photograph showing Royal District Nursing Service (RDNS), Miss Ora Wright seated at a table in discussion amid a group of nine RDNS Educators, Physiotherapists and Clerical staff. Miss Wright has short light coloured hair and has her head turned to her right. She is wearing a long necklace of mixed coloured beads over a light coloured top. Three of the staff are standing behind the seated group. Three staff are seated either side of Miss Wright. Two of the RDNS Educators are wearing white short sleeve blouses under a V neck tunic style dress and the other three are wearing a light coloured skivvy under a V neck grey tunic style dress. The RDNS insignia on a white background can be seen on the upper left of each RDNS uniforms. A blackboard full of white writing can be seen in the left rear of the photograph and several tables joined together are in the foreground. Two books and several sheets of white paper are in front of the seated staff.Photographer stamp. Quote No. DR 12royal district nursing service, rdns, rdns education, rdns clerical staff, rdns physiotherapist, miss ora wright

The three student nurses are from Footscray Hospital. The photograph is taken outside the RDNS Footscray Centre where Sister Ellen Anderson is the Supervisor. Sister McHugh is about to take one of the student nurses with her to observe her giving nursing care to patients in the community. During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures Students went to a RDNS Centre and each student accompanied a Sister for a week observing and gaining knowledge of all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced following discharge from hospital. During 1971 there were 584 student nurses who received field experience with RDNS.Black and white photograph showing two Royal District Nursing Service (RDNS), Sisters and three student nurses Two student nurses, in their light coloured hospital uniforms, white caps, and dark capes are on the left of the photograph standing on the footpath and nature strip facing Sister E. Anderson, who is standing to the left of a tree on the nature strip. She has short dark curled hair and is looking to her right towards the nurses. She is wearing her RDNS grey long sleeve uniform dress. A grey coloured car is at the kerb to the right of the photograph. Standing by its front open passenger door is RDNS Sister Clare McHugh, who is wearing her grey uniform coat, with RDNS insignia on the upper area of the sleeve, and she is wearing a grey peaked hat over her short light coloured hair. She is holding her rectangular nursing case in her right hand and her left hand is resting on the top of the open car door. The inside padding of the door can be seen. A hospital uniformed student nurse is standing at the opened passenger door close to the car. Part of two white cars are seen in front of the grey car. Two trees are seen in the left background and houses and trees are seen to the right.Photographers stamp. Quote No. KH 64royal district nursing service, rdns, rdns education to student nurses, sister e. anderson, sister clare mchugh, rdns uniform

The Student nurses are trainees from Footscray Hospital who, as part of their training, are to go out with and observe RDNS Sisters at work for a week. Sister Anderson is Supervisor of RDNS Footscray Centre, During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures Students went to a RDNS Centre and each student accompanied a Sister for a week observing and gaining knowledge of all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced following discharge from hospital. During 1971 there were 584 student nurses who received field experience with RDNS.Black and white photograph showing two Royal District Nursing Service (RDNS) Sisters and three student nurses outside the glass door and large glass window, with a white rectangular sign with the black capital letters, some partly hidden, "Royal District Nursing Service Footscray Centre" attached. In front of this, on the left hand side of the photograph is a side on view of Sister Clare McHugh, wearing her uniform grey coat with RDNS insignia on the upper sleeve, and grey peaked hat over her blonde hair, looking towards two of the Hospital trainees to her right. They are wearing their hospital uniforms of a light grey frock with two rows white buttons down them, and white collars, white caps and dark capes. Further to their right is another uniformed Student nurse who is facing Sister E. Anderson who is in the far right of the photograph. Only the back of her dark short curled hair is seen, as she stands side on looking at the Student nurse. She is wearing her RDNS long sleeve grey uniform. Photographers stamp. Quote No. KH 66royal district nursing service, rdns, rdns - education of student nurses, clare mchugh,, ellen anderson,

This photograph is taken in the Physiotherapy Department at Mount Royal Rehabilitation Hospital. The Physiotherapist is giving an Education session to RDNS Sisters. The Sisters are wearing the RDNS winter uniform, which was a blue/grey herringbone winter material V neck tunic style frock over a blue/grey skivvie. Sr. Peter is wearing the uniform beret style hat which was made of the herringbone winter material. Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses (Nurses) who trained through the Hospital training system were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in this In-service Education and established the MDNS, later called RDNS, Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their Public health and District nursing systems. Many programs were run at RDNS, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home, and to Mount Royal Hospital to observe the care of clients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin did a Post Basic Course in Psychiatric Nursing and included this area in her education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Registered Nurses. Black and white photograph showing Royal District Nursing Service (RDNS), Sisters observing in a Physiotherapy Department. Left to right - Sisters Judy Peter, who is wearing her uniform beret over her light coloured curly hair, and kneeling and leaning over, with her right hand resting on a white pillow which is on a large thick mat. Next is Sr. Sue Revill, who has dark shoulder length curled hair and is kneeling behind a lady who is lying on her left side on a the mat which is on the floor. She has her head on a white pillow and facing frontward. She has light coloured curled hair and is wearing a dark grey long sleeve top. Next is the Physiotherapist, who has long dark hair drawn back in a pony tail and is wearing a dark cardigan over a white blouse and grey frock. She is kneeling on the mat with her hands on the lady's side. Sister Helen Watt, who has collar length curled hair is kneeling to her right and is holding the lady's outstretched right arm and hand and looking toward the Physiotherapist. The Sisters are wearing the RDNS uniform of a light grey skivvie under a V neck tunic style dress with the RDNS insignia on the upper left. In the background are some some vertical bars attached to the wall and part of a pillow can be seen in front of these on the large mat. On the right of the photograph is a heater and above this windows are seen. Photographer stamp. Quote No. KY 82royal district nursing service, rdns, rdns education, sister judy peter, sister sue revill, sister helen watt

Sister Gawith is a Nurse Educator with Royal District Nursing Service (RDNS) and she is instructing a group of RDNS Sisters during an Advanced Post Basic Course being held in a room in the Education Department at RDNS. Most of the Sisters are wearing the RDNS winter uniform, which at that time was a V neck tunic style dress made of blue/grey herringbone winter material, over a blue/grey skivvie. Sr. Moore is wearing the summer uniform of a royal blue V neck tunic style dress worn over a short sleeve white blouse and a dark blue cardigan.Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with Trained nurses (Sisters) receiving In-service Education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters graduated from the College of Nursing in Community Health, Education and Administration and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from Hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin did a Post Basic Course in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Sisters. The black and white photograph depicts a group of eight Royal District Nursing Service (RDNS) Sisters (Sr) seated and looking at, and some writing in, white paged books on tables in front of them. Seated in a semi-circle are. L - R: a Sister who is wearing glasses and has her dark shoulder length hair drawn back, then Sisters: Yvonne Laird, who has collar length dark hair, Anne Greenwood, who wears glasses and has short dark curled hair, a Sr with her long hair drawn back, then Sue Moore with shoulder length dark hair and wearing a dark V neck tunic style frock over a white blouse, and a dark cardigan. The next Sister, with dark hair, is partly hidden and next to her is Ethel Fullerton. who wears glasses and has curly hair. She is sitting with a pen in her right hand poised over white book. Sr. Mary Gawith, who has short dark curled hair, is standing in front of and slightly to the right of her. She is looking down at Sr. Fullerton and is holding an open book with the end of the spine resting on her table and showing the open pages to Sr. Fullerton. Sr. Judy Peter, who has her blonde hair drawn back, is sitting side-on in the centre foreground of the photograph with her arms resting on the other side of Sr. Fullerton's table. Most Sisters are wearing the RDNS winter uniform, of a V neck grey tunic style dress over a light grey skivvie. Photographer Stamp. Quote No. MA 22royal district nursing service, rdns, rdns education, sister mary gawith, sister yvonne laird, sister ethel fullerton, sister anne greenwood, sister sue moore (nee revill)

Sister Pat (Paddy) Rowley, is the RDNS Principal Nurse Educator and she is instructing Sr. Margaret Affleck during an Education session. Both Sisters are wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style frock made of herringbone winter material. The RDNS insignia is on the upper left of the tunic. Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of RDNS Sisters. Standing on the left of the black and white photograph is Royal District Nursing Service (RDNS) Sister (Sr.) Pat (Paddy) Rowley, who is wearing dark rimmed glasses and has short dark hair. She is leaning forward with her right hand resting on a table and, with her left hand, is pointing to a passage in a white paged book which is open on the table in front of Sr. Affleck who is seated. Sr. Affleck has short dark curled hair and is looking up at Sr. Rowley. Both Sisters are wearing the RDNS uniform of a light grey skivvie under a darker grey V neck tunic style frock. The RDNS insignia is on the upper left of the tunic. In the background dark shelving and books can be seen.Photographer stamp. Quote LD 6melbourne district nursing society, mdns, royal district nursing service, rdns, rdns education, sister pat (paddy) rowley, sister margaret affleck

The Matron and Sisters in this photograph worked in the Melbourne District Nursing Society After Care Home, (later called Hospital) full time and administered nursing care to patients who ranged in age from babes to adults. The Society also had a District Nursing division and these Sisters only worked in the community giving nursing care to patients in their homes.The Melbourne District Nursing Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Society built, then opened, the After-Care Home in 1926, (from 1934 called After-Care Hospital), for these patients, and patients from Hospitals. Many children were nursed there, some long term during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own 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 trained Almoner was employed by the Society in 1934, doing a great deal of work with Midwifery patients, but she resigned after twelve months due to the amount of work. Due to a lack of trained Almoners, the Society employed a Social Service Officer at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions.A black and white photograph of Matron and twelve Trained nurses (Sisters) standing at the front entrance of the Melbourne District Nursing Society After Care Home, In the front of the portico is the Matron and four Sisters. Matron is dressed in a white long uniform dress and white veil over her short dark hair, and is wearing white stockings and white shores. To her right are four Sisters. Behind them are five Sisters, one standing between the left pair of round columns of the portico and the others to her right finishing just before the second set of columns. Two Sisters are to the left of the left hand column in front of the brick wall of the building. A short brick wall runs from the column to the building and hides the lower half of these Sisters. All the Sisters are dressed with white long aprons with white belts, which are covering their uniforms, only their dark grey sleeves and white collars can be seen. They are wearing white veils covering most of their short dark hair, grey stockings and black shoes. At the top of the portico can be seen the words 'District Nursing Society'. Part of the two story brick building can be seen behind the group; two long windows are visible on the upper and lower sections. To the right of the building some shrubs and a tree can be seen.nurses, after care hospital, uniforms, after-care home, melbourne district nursing society, mdns, rdns, royal district nursing service