The rock and attached plaque to Caroline Chisholm stand in front of the Royal District Nursing Service (RDNS) Essendon Centre. It was unveiled at the opening of the Centre on the 30 August 1967.The plaque has a deep silver colour background, light silver colour writing with gold coloured edging.Caroline Chisholm visited the goldfields of Victoria in 1854 and was horrified by the conditions en-route. The Memorial plaque to Caroline Chisholm, in front of the RDNS Essendon Centre which is situated on Crown Land, is in recognition for her work in establishing, with Government assistance, shelter sheds about a days walk apart, to enable the prospectors and their families heading for the goldfields shelter on their way. Caroline Chisholm, a Philanthropist, began her work in Madras in 1834 founding a Female School of Industry for the daughters of European soldiers. They were taught to read, write, cook, keep house and were given instructions in nursing. After coming to Sydney in 1838, she set up accommodation for poor young unemployed migrant women and families. This work was extended when she arranged employment for assisted immigrant women and families into the countryside, many times travelling with groups of young women to check their employment conditions. In seven years she placed 11,000 people in homes and employment. On her return to England she fought for, and won, free passage to Australia for wives and children of former convicts, and for children left behind in England by circumstances, when the family migrated. She established the Family Colonisation Loan Society in 1849, which set up a saving scheme for emigrants, and later loaned them half of their passage to Australia. The Society's Agents found them employment on arrival, and the loan was paid back within two years by a humane payment scheme. At first they used emigrant ships, but then the Society provided ships with much improved conditions, and this led to the upgrading of the passenger Act.. The Chisholm's lived in Kyneton for several years, returning to Sydney for health reasons, before going back to England where Caroline died, aged 68 years, on the 25th of March 1877.Black and white photograph of the Memorial plaque to Caroline Chisholm. The rectangular plaque sits on a rough light grey rock, and has light colour writing and edging, on a dark grey background. The inscription on the plaque is in five lines and reads: "On this site in the year 1855"/, "Mrs Caroline Chisholm"/, "Established a Shelter for"/, "Diggers and their families"/ "Travelling to the Goldfields"/.Photographers stamp. Quote No. GJ 56rdns, royal district nursing service, rdns centre, caroline chisholm, memorial plaque

Mrs. R. Gordon is the President of the Victorian branch of the National Council of Women. The Memorial plaque to Caroline Chisholm stands on a rock in front of the Royal District Nursing Service (RDNS) Essendon Centre, and was unveiled at the time of the opening of the Centre on the 30th of August 1967.Caroline Chisholm visited the goldfields of Victoria in 1854 and was horrified by the conditions en-route. The Memorial plaque to Caroline Chisholm, in front of the RDNS Essendon Centre, is in recognition for her work in establishing, with Government assistance, shelter sheds about a days walk apart, to enable the prospectors and their families shelter whilst heading to the goldfields. Caroline Chisholm, a Philanthropist, began her work in Madras in 1834, founding a Female School of Industry for the daughters of European soldiers. They were taught to read, write, cook, keep house and were given instructions in nursing. After coming to Sydney in 1838, she set up accommodation for poor young unemployed migrant women and families. This work was extended when she arranged employment in the countryside for assisted immigrant women and families, many times travelling with groups of young women to check their employment conditions. In seven years she placed 11,000 people in homes and employment. On her return to England she fought for, and won, free passage to Australia for wives and children of former convicts, and for children left behind in England by circumstances, when the family migrated. She established the Family Colonisation Loan Society in 1849, which set up a saving scheme for emigrants, and later loaned them half of their passage to Australia. The Society's Agents found them employment on arrival, and the loan was paid back within two years by a humane payment scheme. At first they used emigrant ships for passage, but then the Society provided ships with much improved conditions, and this led to the upgrading of the passenger Act.. The Chisholm's lived in Kyneton for several years, returning to Sydney for health reasons, before going back to England where Caroline died, aged 68 years, on the 25th of March 1877.Black and white photograph of Mrs. R, Gordon, wearing a dark coloured coat, black shoes, and a beret style white and black hat, pointing with her left hand to the unveiled Memorial plaque to Caroline Chisholm. The dark oblong plaque is adhered to a large rock.The British Flag can be seen in the foreground. Part of a building can be seen in the background; short glass windows can be seen above the brickwork on the left, with dark fascia above, and part of a large glass window to the right.Photographers stamp. Quote No. GJ 58rdns, royal district nursing service, rdns centre, essendon centre, memorial plaque, mrs r. gordon, caroline chisholm

Mrs. R. Gordon is the President of the Victorian branch of the National Council of Women and is unveiling the Memorial plaque to Caroline Chisholm. The plaque stands on a rock in front of the Royal District Nursing Service (RDNS) Essendon Centre, and was unveiled on the same day the Centre opened on the 30th of August 1967. Mrs. E.G. Wilson is President of the Royal District Nursing Service. Miss Mary Evans is the Director of Nursing of the Royal District Nursing Service and is wearing her dark grey Director's uniform.Caroline Chisholm visited the goldfields of Victoria in 1854 and was horrified by the conditions en-route. The Memorial plaque to Caroline Chisholm, in front of the RDNS Essendon Centre, is in recognition for her work in establishing, with Government assistance, shelter sheds about a days walk apart, to enable the prospectors and their families shelter whilst heading for the goldfields. Caroline Chisholm, a Philanthropist, began her work in Madras in 1834 founding a Female School of Industry for the daughters of European soldiers. They were taught to read, write, cook, keep house and were given instructions in nursing. After coming to Sydney in 1838, she set up accommodation for poor young unemployed migrant women and families. This work was extended when she arranged employment in the countryside for assisted immigrant women and families, many times travelling with groups of young women to check their employment conditions. In seven years she placed 11,000 people in homes and employment. On her return to England she fought for, and won, free passage to Australia for wives and children of former convicts, and for children left behind in England by circumstances, when the family migrated. She established the Family Colonisation Loan Society in 1849, which set up a saving scheme for emigrants, and later loaned them half of their passage to Australia. The Society's Agents found them employment on arrival, and the loan was paid back within two years by a humane payment scheme. At first they used emigrant ships for passage, but then the Society provided ships with much improved conditions, and this led to the upgrading of the passenger Act.. The Chisholm's lived in Kyneton for several years, returning to Sydney for health reasons, before going back to England where Caroline died, aged 68 years, on the 25th of March 1877.Black and white photograph showing Mrs. R. Gordon, wearing a black coat and black and white beret style hat, with her left hand on a rock and her right hand on the British Flag, whilst unveiling the Memorial plaque to Caroline Chisholm. Mrs. R. Gordon stands between Mrs. E.G. Wilson, who is to her left, and is wearing glasses and a black coat, hat and shoes. Miss Mary Evans, who is wearing her RDNS uniform of a dark grey skirt and jacket and brimmed hat, and with a handbag looped over her left arm, is to the right.. Part of a building is seen in the background; short glass windows can be seen above the brickwork to the left and a large glass window to the right.Photographers stamp and 'Quote No. GJ 60'rdns, royal district nursing service, essendon centre, caroline chisholm, memorial plaque, mrs r. gordon, miss mary evans, mrs e.g. (hazel janet) wilson

The dignitaries in this photograph are at the opening ceremony of the Royal District Nursing Service (RDNS) Essendon Centre on the 30th of August 1967Gradually over the years, Melbourne District Nursing Service, MDNS, later known as Royal District Nursing Service, RDNS, from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area, (district), taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister.Black and white photograph of dignitaries participating in a ceremony. Hanging across the front of the rostrum is a large sign with the round RDNS logo emblazoned in white across the central dark strip, and white sections above and below the strip can be seen. A dark boarder is around the circumference of the logo, with the words 'Royal District Nursing Service' seen. Behind the rostrum a gentleman, who has short dark hair; is wearing a white shirt, dark tie and a dark suit, stands at the microphone. To his rear left sits two ladies, one wearing white, the other grey, and a gentleman in a dark suit. To his right rear sit two gentlemen in dark suits and another can partially be seen. The dignitaries are in a marque which shows a striped background and grey top behind them. There are flowers on either side of the rostrum.Photographers stamp and 'Quote No. GJ 70'rdns, royal district nursing service, essendon centre

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

This sepia digital image shows the Austin car which was donated to the Melbourne District Nursing Society (MDNS) in !937 by the Rotary Club of Victoria. It was used by the Matron of the MDNS District Division to visit patients weekly. The photograph is taken outside the MDNS Headquarters at 39 Victoria Parade, Collingwood. The photograph appeared along with an article in The Age Friday May 7, 1937. The photograph appeared in the MDNS Annual Report of 1937. On page 8, mention is made of J.D Johnston Esq, President of the Rotary Club of Victoria, presenting the Austin vehicle to MDNS. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state two were sold in 1922 and the others later. In 1922-23 three Peugeot cars were purchased and a woman Chauffeur, 'Miss Sword', was employed who lived in the Home and was also in charge of the garage. MDNS was expanding and a Motor Auxiliary was formed in 1929 to take the Trained nurses (Sisters) to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia cars 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters, though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. In the foreground of this sepia photograph is a side-on view of a four door 1937 style small grey car with a nose shaped bonnet, parked on the road beside the kerb with the headlight facing to the right of the photograph.The bonnet joins onto a straight windscreen which adjoins a slightly curved hood running back along the car. This adjoins a back window which joins onto the sloping rear body of the car with a small protruding boot. Windows are seen above the body work of both facing doors and a smaller sloping window above the body work and rear wheel arch. On the drivers door is a Maltese cross and the words "Melbourne District" written above the Maltese cross and "Nursing Society" below it. In front of this door the body work forms a wheel arch and the headlight is attached between this body work and the bonnet. Rubber tyred wheels with solid hub caps are seen below each wheel arch. On the footpath, behind the bonnet of the car, four Melbourne District Nursing Society (MDNS) Trained nurses (Sisters) are standing. They are wearing dark grey coats over their grey uniforms with white collars, and brimmed grey hats with a Maltese cross on the light coloured headband. The Sister on the right has her left hand gripping the handle on top of her oblong nursing case. A metal spiked fence is behind the Sisters, which runs to the left into one of the two square concrete columns which sit either side of a path. A hedge is behind the fence, and behind this part of a building with three arched windows can be seen. A white plaque is attached to the fence near one of the columns.mdns, melbourne district nursing society, rotary club of victoria, mdns transport, rdns, royal district nursing service, rdns transport

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

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

The Royal District Nursing Service (RDNS), Sister has sterilized an autoclave pack for use by the RDNS Sisters when attending their patients in their homes who are requiring specific treatments for e.g. catheterization. This photograph is taken in the sterilizing room at a RDNS Centre. The Sister is wearing the RDNS Summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock with the RDNS logo on its upper left.Royal District Nursing Service (RDNS) supplied sterilized equipment, such as ready set up catheter trays and dressing trays, as well as dressing packs for their Sisters to take to the home when attending to specific patient care. Patients bought their own future dressings, if these had not been given to them when discharged from Hospital. Following their day in the community the Sisters returned to the RDNS Centre and washed and set up the trays again ready for re-sterilization. Black and white photograph showing a Royal District Nursing Service, (RDNS), Sister who has blonde short hair; is wearing a short sleeved white blouse and dark tunic style frock, standing in the Autoclave room in an RDNS centre. She is emptying the Autoclave chamber after sterilizing a wrapped, 'gown and towel', which is written on the wrapping. Her right arm is extended with her hand on the metal wire basket which has a protective floral cloth covering the edge of the basket. The photograph shows a tall vertical Autoclave, which is made of metal. To the left above the chamber is a dark rectangular section with several switches, and to right of it are three white faced dials. royal district nursing service, rdns, rdns equipment, sterilizing

This photograph records Mr. Ian Muir, President of the Essendon Rotary Club unveiling the plaque at the opening of the Royal District Nursing Service (RDNS) Essendon Centre on the 30th of August 1967. Mrs. E.G. Wilson is President of Royal District Nursing Service (RDNS). Mrs. Wilson was a Committee member, then Vice-president, of Melbourne District Nursing Service, later called Royal District Nursing Service (RDNS) from 1959 until 1964 and President 1965-1967 Gradually over the years, Melbourne District Nursing Service, MDNS, later known as Royal District Nursing Service, RDNS, from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area, taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister.Black and white photograph showing Mr.Ian Muir unveiling a plaque. Mr. Muir, on the right hand side of the photograph, has dark short hair and is wearing a dark suit. His is standing side-on facing to the left of the photograph. His right hand is holding the cord of the right hand side Australian flag which was partly covering the plaque. A gentleman, with short grey hair and wearing a dark suit, is on the far left hand side of the photograph. Between him and another Australian flag, on the left hand side of the plaque, stands Mrs. E.G, Wilson, who is wearing glasses and is dressed in a dark suit and a dark hat. The dark plaque is attached to a light coloured section of wall and in the background are the windows above the light coloured far wall of the room.Photographers Stamp. 'Quote No. GJ 73royal district nursing service, rdns, essendon centre, mrs e.g. (hazel janet) wilson, mr ian muir, rdns centre

The photograph is taken during an Education session at Royal District Nursing Service (RDNS). The Sisters are wearing their grey uniform cotton frocks and red cardigans of that era.Education was an integral part of Melbourne District Nursing Society (MDNS), later called Royal District Nursing Service, (RDNS), from its inception in 1885. Only Trained nurses (Nurses) 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. RDNS Trained nurses (Sisters) received In-service education and by the end of the 1960s there was an increased focus on rehabilitation and independence. Patients were offered rehabilitation and new lifting techniques were introduced to reduce physical strain on staff and family members. Royal District Nursing Service ran its own rehabilitation program requiring staff to be trained in techniques by RDNS Physiotherapists.Black and white photograph of Royal District Nursing Service (RDNS), Sister Pat (Paddy) Rowley on left hand side, and Sister Joanne Wilkinson on right hand side, demonstrating the use of a hoist which has transferred Sister Liz Thomson onto a bed in the centre of the photograph. The bed is covered with white sheets and Sr. Thomson is lying on the bed with the sling of the hoist under her. The lowest metal bars and wheels of the hoist are under the bed and the top bars across the bed. Sr. Wilkinson's right hand is undoing the sling from the top bar of the hoist, and her left hand is holding the strap of the sling which is under Sr. Thomson. The Sisters are wearing their grey uniform frocks and dark cardigans. A window with two long floral opened curtains are behind the bed, and a strip heater is seen high on the adjoining wall.Photographers stamp. Quote No GW 90royal district nursing service, rdns, rdns education, equipment, sister pat (paddy) rowley, sister liz thomson, sister joanne wilkinson

The demonstration is being carried out in the bathroom at RDNS Headquarter, 452 St. Kilda Road, Melbourne. The Sisters are wearing their grey RDNS uniforms and red cardigans of that era. From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by their Trained nurses. As well as teaching and supervising the use of equipment, their Trained nurses taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. RDNS at first held workshops given by a contracted private Physiotherapist before employing their own Physiotherapist in 1975 who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family members. When required the Physiotherapist accompanied the Sister on her visit to the patient in their home.staff to be trained in techniques by RDNS Physiotherapists.Black and white photograph showing a safety technique demonstration. Royal District Nursing Service (RDNS) Sister Liz Thomson, with her hair drawn back, is wearing a white gown over her uniform and is being transferred by Sister Betty McDonald, dark short curled hair. She has her arms extended supporting Sr. Thomson onto a bath seat. Sister Thomson has her left leg over the bath and the wooden bath seat can be seen positioned in the upper section of a white bath. Sister Joanne Wilkinson, who has short straight dark hair is on the right observing. Both Sr. McDonald and Sr. Wilkinson are wearing their RDNS uniforms of a dark cardigan over a grey frock. A white tiled wall with a strip of dark tiles is behind the bath.with metal piping attached to the right tiled wall and running to taps over the bath. A window is seen to the left of the tiled wall. Photographers stamp and Quote No. GW 8royal district nursing service, rdns, rdns education, equipment, liz thomson, betty mcdonald, joanne wilkinson

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

Mr. Bralsford,the Transport Manager at Royal District Nursing Service (RDNS), is instructing RDNS staff in the responsibilities of driving an RDNS vehicle. The Sisters were undergoing a Post Basic Course given by RDNS Educators, Car maintenance was necessary from 1937 when a car was donated by the Rotary Club to Melbourne District Nursing Society, (MDNS). Another car was donated, by General Motors-Holden, via the Duchess of Gloucester, in 1947, and the fleet began to grow from 1950 with seven Ford Prefects being provided by the Hospital and Charities Commission. For many years Melford Motors in South Melbourne maintained the MDNS fleet, until the fleet grew to the point of, the now named, Royal District Nursing Service (RDNS) providing its own Car Maintenance Division to service the cars regularly. The Royal Automobile Club of Victoria, (RACV), attended any breakdowns which occurred when nursing staff were on the road. Each new Sister employed by the Service was taken out for a driving test before she drove a District car. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used; bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state they were sold in 1927. A Motor Auxiliary was formed in 1929 to take Sisters to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled until, having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own full fleet of vehicles by the mid 1960s. In many areas there were unsealed roads, in various conditions, which the Sisters negotiated to reach their patients to give care. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Melways Directory of maps was introduced in 1966 which was a boon to the Sisters, though it was a few years before it went beyond Seville, so those that did the Warburton and Powelltown area worked off a large paper map. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Black and white photograph showing Mr. Bralsford instructing RDNS staff. In the left foreground is Sister (Sr) Liz Thomson who has her dark hair drawn back, is looking down at a piece of white paper resting on the arm of the wooden chair on which she is sitting. In front of her are the back views of Sr. Betty McDonald with curled dark hair and to her right is Sister Joanne Wilkinson. Mr. Bralsford, who has short dark hair; is wearing glasses, and wearing a grey coat, is standing in front of them pointing to a blackboard with his extended left arm and hand. He is looking down, and has his right hand on a piece of white paper on a desk. A strip heater is high on the left hand wall.Photographers stamp and Quote No. GW 101royal district nursing service, rdns, rdns transport, rdns education, melford motors, racv, sister liz thomson, sister betty mcdonald, sister joanne wilkinson, mr bralsford

This photograph is taken in the Melbourne District Nursing Service (MDNS) Footscray Centre and shows a Sister receiving sterilized equipment from a Sister in the Autoclave room. The Sister receiving the equipment will use this when giving specific nursing care to a patient in her home.Melbourne District Nursing Service (MDNS), later called Royal District Nursing Service (RDNS), had an Autoclave room in each Centre where Catheter trays, dressing trays, as well as dressing packs and gowns and towels were sterilized for their Trained staff (Sisters) to take to the home when attending to a patient who required specific nursing care. When the Sisters returned to the Centre they cleaned the equipment and set up the trays ready for re-sterilizing. On the right of the black and white photograph is a Melbourne District Nursing Service (MDNS) Sister, wearing a white gown over her grey uniform, with peaks showing, and wearing her grey peaked hat over her short dark hair. She is smiling as she is handing sterilized equipment through the opened sliding window of the sterilizing room. The Sister receiving the equipment is to the left in the next room. She is wearing her grey uniform coat and peaked hat over her short dark curled hair, and is standing against a row of cupboards with their bench top at the level of the sliding window. To her right, a rectangular metal basket sits on the bench top; a white drape is in the basket and another to its right. A four pronged walking stick stands on the floor to her right hand side. At the rear left a small table is against the wall with a small grey square tapering rubbish bin beneath it. The edge of the open door can be seen on the far left. In the foreground some of the cupboards, and part of a wall with an electric switch can be seen.Photographer's stamp. Quote No. GX 6 Handwritten informationmelbourne district nursing service, mdns, royal district nursing service, rdns, rdns equipment, sterilizing, rdns centre

This photograph is taken in the Sterilizing room in the Royal District Nursing Service (RDNS) Footscray Centre. Sister Short is closing the door of the Autoclave to sterilize equipment and dressings which will then be used by a RDNS Sister when she is visiting a patient in the community. Sterilizing of equipment and dressings were carried out at each RDNS Centre. Royal District Nursing Service (RDNS) supplied sterilized equipment, such as ready set up catheter trays and dressing trays, as well as dressing packs for their trained staff (Sisters) to take to the home when attending to specific patient care. When the Sisters returned to the Centre they washed and set up the trays again ready for re-sterilization. Each RDNS Centre had an Autoclave room and equipment and dressings were sterilized each day.Black and white photograph showing Royal District Nursing Service (RDNS), Sister Margaret Short, who has short dark hair, and is wearing a white gown over her uniform, with the grey peaks seen. She is using the Autoclave in the Sterilizing room. The tall rectangular metal sterilizer stands in the centre of the photograph. There are several small dials and a larger square dial on its upper left, with a long encased thermometer in the centre and a large round dial to its right. Below this is the partly open large metal door of the sterilizing section. A thick horizontal metal piece runs from the left side of the sterilizer, across, and attached at the centre, of the door. Sister Short has her left hand on the turning bar attached to the centre section, and her right hand is on the locking section as she closes the door. Below the door are two switches and several small dials. To the left of the sterilizer is a cabinet, and to the right of Sister Short, eight small wrapped dressing packs are on a shelf. At the rear of the photograph the wall goes halfway up, with windows above.Photographer's Stamp. Quote No. GX 12 Handwritten informationroyal district nursing service, rdns, footscray centre, sterilizing, sister margaret short

Sister Gibbs is liaising with Dr. Gibbs to discuss his patients who are attended by RDNS.Liaison had occurred between doctors and the Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Sisters, but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital doctor, via the Liaison sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District sister. Liaising also occurred between District field staff and Doctors when patients were referred by General Practitioners and did not attend a hospital.On the left of this black and white photograph is Sister Melanie Gibbs of the Royal District Nursing Service (RDNS). To her right is Dr. L.B. Witts who is wearing glasses; has short dark hair and is wearing a grey suit, white shirt and dark tie; he has a stethoscope around his neck with the end on his lap. He is sitting 'side on' at the end of a low cabinet with three drawers seen.and is turned toward Sister Gibbs. His right arm and hand are resting on an open book on the top of the cabinet. Sr. Gibbs, who has dark curled hair, is wearing her grey RDNS uniform coat with the RDNS insignia on the upper sleeve, and peaked hat. She is seated 'side on' in the photograph facing Dr. Witts. Her dark leather rectangular shaped case, with RDNS written in the top third, is resting on Dr. Witts' low cabinet. On the left in the background sit a set of four light grey metal drawers above a set of dark drawers and part of an open Venetian blind over a window is to the right.Photographer's Stamp. Quote No. HN 47melbourne district nursing society, mdns, royal district nursing service, rdns, patient care, rdns liaison, sister melanie gibbs, dr l.b. witts

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

This white Toyota Corolla is one of the fleet of cars driven by Royal District Nursing Service (RDNS) Sisters to visit patients in the community to administer nursing care. 1985 was the centenary of the founding of the Melbourne District Nursing Society; founded in 1885; the Society was given Royal patronage in 1966 and became the Royal District Nursing Service. The Coat of Arms shown on the car was granted by the College of Arms in London in 1970. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state two were sold in 1922 and the others later. In 1922-23 three Peugeot cars were purchased and a woman Chauffeur, 'Miss Sword', was employed who lived in the Home and was also in charge of the garage. MDNS was expanding and a Motor Auxiliary was formed in 1929 to take the Trained nurses (Sisters) to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia cars 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters, though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Coloured photograph of the side on view of a Royal District Nursing Service (RDNS).white Toyota Corolla sedan displaying the RDNS Coat of Arms on the upper centre of the front door. The car is the same width all over and the flat bonnet joins to a sloping large front windscreen. on the side, at the level of the windscreen are two windows, above the metal body work of both doors. The roof runs from the top of the windscreen to the rear of the vehicle where it joins with a short back window which sits above a short boot. Part of the front grill and headlights either side of it are seen, and a bumper bar below this. A black tyred wheel with solid hub cap is seen under a wheel arch in the body work, at the front and rear of the vehicle.melbourne district nursing society, mdns, royal district nursing service, rdns, rdns crest, rdns transport

This photograph is taken in the work room in a Royal District Nursing Service (RDNS) Centre. The Sisters are writing up patient histories after giving nursing care to them in their homes during the day.Royal District Nursing Service (RDNS), had Centres throughout the Melbourne Metropolitan area. Their staff arrived at the Centre each morning to collect their work load and any messages, and then drove to their particular area (district) to give care to their patients. At the completion of the day they returned to their Centre where they wrote up the care they had given to each patient in the appropriate history folder. They also filled out forms to be sent to the RDNS Liaison Sister at the appropriate hospital when a patient was going to outpatients so the doctor would have a progress report. The Sisters also contacted other Medical and Community personal as necessary from the Centre. The RDNS cars were also kept at each centre, where they were collected each morning and returned after the Sister's community visits. Coloured photograph of a group of eleven Royal District Nursing Service (RDNS), Sisters doing their book work in an RDNS Centre. Two of the Sisters are wearing the summer RDNS uniform of a royal blue V necked tunic style dress over a white blouse and a dark blue cardigan. The others are wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey herringbone winter material V necked tunic style frock. Some Sisters are partly hidden. They are sitting at tables which have open patient history books and papers on them.In the rear are papers attached to walls and on the left a Venetian blind is covering a window.royal district nursing service, rdns, rdns uniform, rdns centre

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

The RDNS Sisters are wearing the uniform of the day which was a short sleeve white blouse under a royal blue V neck tunic style frock with the RDNS insignia on the left upper area. Sister Pelosi is being transferred by another RDNS staff member from a bed via a hoist into a wheelchair as a demonstration during an Education session.From the founding of the Melbourne District Nursing Society (MDNS), in 1885, known as the Royal District Nursing Service (RDNS) from 1966, equipment was loaned and demonstrated to patients, and their family members, to enable them to care for the person in their home. In the 1970s RDNS employed a Physiotherapist who taught RDNS staff correct transferring techniques, including the use of a hoist when this became available. RDNS staff taught and used these techniques in patient’s homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members.Black and white photograph of a Sister of the Royal District Nursing Service (RDNS), demonstrating the transferring of Sister Helen Pelosi into a wheelchair using a Hydraulic Hoist. The Sister standing behind the wheelchair has short dark hair and is wearing the RDNS summer uniform of a white short sleeve blouse under a dark V neck tunic style frock. She has her hands extended supporting Sr, Pelosi, who has short straight hair; is wearing a white gown over her uniform and is suspended in a sling which is hanging from the cross bar of the metal hoist, and is just above the seat of the wheelchair. The upright pole and hydraulics, with bar 'pumping handle', is in front of Sr. Pelosi in the right foreground of the photograph. To its right is a bed with dark bedhead and white coverings.rdns, royal district nursing service, rdns education, rdns equipment, sister helen pelosi

The Sister is supporting the elderly lady as she takes her for a walk on her veranda. The RDNS winter uniform at that time was a blue/grey skivvie worn under a V neck, tunic style, blue/grey herringbone winter material frock. The RDNS insignia is on the upper left of the frock.From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by their Trained nurses (Sisters). As well as teaching and supervising the use of equipment, the Sisters taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. In the 1970s RDNS employed a Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family membersOn the left of the black and white photograph is a Royal District Nursing Service (RDNS), Sister, who has short dark curly hair and is wearing her RDNS winter uniform of a light coloured skivvie under a V neck tunic style frock, standing with an elderly lady on the wooden veranda of her home. The lady, who has short white hair, is wearing a dark buttoned up cardigan over a floral frock, The lady has her right arm hooked through the left arm of the Sister, who is clasping the ladies hand. The Sister is looking to the left at the lady, and the lady is looking to the front. The weatherboard wall of her house is seen in the background. Part of a chair and small table are on the far front left of the photograph.Type written informationroyal district nursing service, rdns, rdns rehabilitation

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

The occasion of the photograph is unknown, but it depicts a group of Melbourne District Nursing Service (MDNS) Sisters with Matron Tupper. She is wearing the Matron uniform of a white frock and veil and a red cape. The Sisters are wearing their grey MDNS uniforms and one is wearing a uniform red cardigan. The Sisters peaked hats have a red Maltese cross applied in the centre front.From its foundation in 1885 the Melbourne District Nursing Society (MDNS), were instrumental in giving nursing care to patients in their own homes, and to assist them if they had financial problems or resided in poor living conditions. Miss Dorothy Tupper who, as a Trained nurse, had undertaken a course in hospital housekeeping at London Prince of Wales Hospital, was contacted by MDNS in 1939 and, possessing both business and humanitarian qualities, was asked to organize their newly established Social Service Department. As the MDNS Social Service Sister, she assessed the living conditions in patient's homes. She continued in this role until being appointed Matron of the Society's District Nursing division in 1941; a role she continued in until her retirement at the end of 1962.Black and white photograph of a group of seven Melbourne District Nursing Service (MDNS) Sisters and Matron Tupper with two men and four ladies standing in two rows in front of a brick house which has a tiled roof. To the left in the back row is a gentlemen with dark hair, who is wearing a dark suit, then two MDNS Sisters, next is a lady who is wearing glasses and is dressed in a light colour coat and hat. To her right is a tall MDNS Sister wearing dark rimmed glasses, then a lady with dark curly hair looking over the shoulder of a man with grey hair who is wearing a dark suit; on his right is Matron Tupper, who is wearing her white nursing uniform, her dark cape, and white veil over her short dark curled hair. In the left front is a Sister; to her right is a lady with dark curly hair and wearing a light coloured coat over a dark skirt and jumper; then a lady with blonde curly hair who is wearing a dark coat over her light dress and is carrying a handbag. Three Sisters are to her right - the end one is wearing glasses and a dark cardigan over her grey uniform frock The other MDNS Sisters in the group are wearing their grey uniform coats over their partly seen grey uniforms. All the MDNS Sisters are wearing grey uniform peaked hats. A three storey building is to the left rear of the photograph and and parts of three other buildings behind and to the right of the house.melbourne district nursing society, mdns, mdns social service department, mdns matron, matron dorothy tupper

The photograph is taken in Frankston Centre where Sister Helen Pelosi is the Supervisor. The RDNS summer uniform at that time, worn by most of the Sisters in the photograph, was a royal blue V neck tunic style frock with the RDNS insignia in the upper left, over a short sleeve white blouse. The Sister seated at the desk with a pen in her hand, is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey herring bone winter material tunic style frock with the RDNS insignia on the upper left. The other seated Sister is wearing an RDNS blue cardigan over her uniformGradually over the years, Melbourne District Nursing Service (MDNS), later known as Royal District Nursing Service (RDNS) from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area (district), taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical and community personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister.Black and white photograph of a group of Royal District Nursing Service (RDNS),staff. At the left rear, is a Sister with short curly hair; her right hand is resting on the table, then a Sister with collar length straight hair and to her right is Sr. Helen Pelosi, who has short dark curled hair. Two Sisters are seated in front of them at a table; the Sister on the left, has curly hair and is wearing a long sleeve skivvie under a V neck tunic style frock which has an insignia on its upper left. She has an open book in front of her and has a pen in her right hand poised on the white page of the book. The seated Sister to her right is wearing a uniform cardigan and has her hands clasped resting on the table. Four of the Sisters are wearing V neck tunic style frocks with an insignia on upper left, over short sleeve white blouses. Part of a picture is seen on the wall at the left rear and a doorway with a wall behind to its right.royal district nursing service, rdns, rdns uniform, rdns centre, sister helen pelosi

This photograph is taken in a Hospital. RDNS Liaison Officer, Sister Pat Holdsworth is giving the hospital patient, who was to be seen by RDNS District staff on his discharge, a leaflet explaining what to expect at the time of the first RDNS visit. Sr. Hodsworth is wearing the RDNS summer uniform of that era, which was a white blouse worn under a royal blue V neck tunic style frock with the RDNS insignia emblazoned on the upper left.Liaison had occurred between doctors and the nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service,(RDNS), nursing staff, but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District sister wrote a report of progress and any queries to the hospital doctor, via the Liaison sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District sister. Liaising also occurred between District field staff and Doctors when patients were referred by General Practitioners and did not attend a hospital.Standing on the left of the black and white photograph is a Hospital Sister, with her dark hair drawn up, and wearing her white uniform and white cap, To her right is Royal District Nursing Service (RDNS), Sister Pat Holdsworth, who has short wavy hair; is wearing glasses, and wearing a V neck tunic style frock over a short sleeve white blouse.. She is holding a paper in her left hand which is extended over the side rail on a patient's bed. Her right arm is also extended over the bed rail and she is pointing out information on the paper to the gentleman patient who is sitting up in bed. The man has blonde shoulder length hair and is wearing a light coloured long sleeve striped gown.. His hands are resting on the white bed covers and his left wrist is bandaged. The bed has bed rails attached on each side. Another hospital staff member, a lady with dark hair who is wearing a white hospital style coat, is on the right hand side of the bed with her arms resting on the right hand bed rail..melbourne district nursing society, mdns, royal district nursing service, rdns, rdns liaison, melbourne district nursing service, sister pat holdsworth

This photograph shows a Melbourne District Nursing Service (MDNS) Sister is visiting the lady in her own home and is giving medication in the form of an injection which has been ordered by a Doctor. The Sisters is wearing her grey cotton uniform frock under her white gown and her grey peaked hat. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Melbourne District Nursing Service and from 1966 Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Trained nurses (Sisters) provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph showing a Melbourne District Nursing Service (MDNS), Sister on the left of the photograph giving an injection into the upper right arm of a lady. On the right of the photograph is an elderly lady who is sitting on a chair, she has white short curly hair; is wearing glasses and wearing a black and white patterned dress. Her head is turned to her right and she is smiling at the Sister.as she holds up the sleeve of her dress with her left hand. The MDNS Sister, who is wearing her uniform peaked grey hat over her short blond hair and wearing a white gown over her grey uniform with peaks just seen, is smiling at the lady. In both hands she.is holding a glass and metal syringe; the needle is inserted in the lady's arm.Photographer stamprdns, royal district nursing service, melbourne district nursing service, mdns, mdns patient care - injection

This photograph is taken outside the Royal District Nursing Service (RDNS) Rosebud Centre which was opened in the mid 1970s. This photograph is a record of Rosebud RDNS staff in the 1980s. The Sisters are wearing their summer uniforms, some with white frocks with a blue pattern and a red belt, others with a white blouse with a red pattern on it and a royal blue skirt. The Health Aides uniform is a royal blue dress with white piping.Gradually over the years, Melbourne District Nursing Service (MDNS), later known as Royal District Nursing Service (RDNS), from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area,(district) taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical and community personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister. In 1980, a Home Health Aide ‘Pilot study’, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by RDNS Principal Nurse Educator. Pat (Paddy) Rowley was evaluated as successful. Following this Pilot study, Home Health Aides were employed by RDNS, and after instruction in the RDNS Education department, joined RDNS Centres and worked under the supervision of the RDNS Sisters. The Sister assessed each client, then introduced and supervised the Health Aide in the client procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aid followed each visit. If the Health Aide noticed any change in the client’s condition, this was reported immediately and the Sister visited. The Sister made routine visits to the client for review at least monthly. Black and white photograph showing Royal District Nursing Service (RDNS), staff outside a brick building with a flat roof. A white RDNS car is on the right hand side of the photograph with "RDNS" in capital letters on the door. A tree is in the background. The twenty-five, some partly hidden, RDNS staff are wearing their uniforms. Some are wearing white patterned short sleeve dresses with a dark belt, and others white patterned short sleeve blouses and dark skirts. The letters "RDNS" are displayed in capital letter on the left hand upper pocket of the Sisters. Two Health-aides are present and are wearing dark coloured frocks with white piping. mdns, melbourne district nursing service, rdns, royal district nursing service, rdns centres

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