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

The photograph shows a RDNS Sister driving her RDNS car along a dirt road to reach a patient to administer nursing care. It shows the typical conditions of the roads the RDNS trained nurses encountered in some districts. The photograph also depicts an Australian made Holden car of the mid 1960s Melbourne District Nursing Society, later Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 years. At first their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded bicycles, public transport, District cars, the use of a Motor Auxiliary, the Trained nurses (Sisters) own cars, and even a motorcycle were used, and all these forms were intermingled until RDNS had its own fleet of vehicles. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.In the centre of this black and white photograph is a Royal District Nursing Service, (RDNS), Sister at the wheel of her RDNS Holden car, which has a black rear Victorian number plate with 'JPH - 516' written in white letters. Through the back window you can see part of the Sister's uniform and her peaked hat worn over her short curled hair. Her left hand is on the upper part of the steering wheel. The dirt road on which she is travelling has mud and some grass tufts either side of it. On the right of the car is a hip roof brick house which has a single storey front area with attached two storey section at the rear. A short open Besser brick fence, with a white wooden gate, is seen running from the front of the property to the house, and beyond this a clothes line and shed. Beyond this, part of a tall paling fence is seen from the front of the property to the shed. The top section of the next brick house is seen beyond the fence; it has a white railed veranda along part of it and the house has a flat roof.Photographers stamp. Quote No. GE 90rdns, royal district nursing service, rdns transport, rdns patient care

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

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

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

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

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

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

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

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

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

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

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

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

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

Two Royal District Nursing Service (RDNS) Sisters are assisting a young male patient who has a movement disorder, to change position in his reclined chair.The Trained nurses (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 Trained nurse (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.A coloured photograph showing two Royal District Nursing (RDNS) Sisters with a young male patient who is lying in a reclined chair. The Sister standing on his left is smiling; she has short straight dark hair, and is wearing a RDNS light blue apron over her royal blue dress and darker blue long sleeve cardigan. The Sister on the right hand side of the patient's chair is laughing. She has blonde hair and is slightly bent over the chair as her left hand is supporting his left leg. She is wearing the RDNS summer uniform of the day - a white short sleeve blouse under a royal blue V neck tunic style frock. Her right arm is bent and resting on top of the patient's chair and pillow. The young man has short dark hair and is smiling and looking towards the left of the photograph. He is wearing a dark blue long sleeve top and his right arm is extended toward the Sister on the left hand side of the photograph. His legs are over his coverings with his left leg bent at the knee. He is wearing light coloured pants and has a pink and white striped slipper on his foot. His pillow is white, and coverings seen are blue and white check, white, and a pale pink sheepskin. A wood board wall is in the background. A vase of flowers are standing on the part of a round low table that can be seen in the right hand rear corner. A pale lilac wall can be seen on the right hand side. A small section of a dark patterned carpet can be seen.royal district nursing service, rdns, rdns uniform, rdns patient care

The Royal District Nursing Service (RDNS) Altona Centre was situated at Blackshaws Road, Altona. This photograph is a pictorial record of the staff at Altona Centre in the 1990s.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 and outer suburbs with Heidelberg Centre opening in 1971. 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. The Trained nurses (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 their 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.The coloured photograph shows 29 female staff of the Royal District Nursing Service (RDNS), Altona Centre. The rear and centre rows of staff are standing and the front row of staff are kneeling. They are outside a grey brick building with a flat roof. A white sign is on the right hand upper corner of the building and has the words, written in blue capital letters, "Royal District Nursing Service Altona Centre". Part of a window can be seen beneath this. Part of two other windows can be seen in the centre and to the left of the building. Most Sisters are wearing RDNS uniforms, some with a short sleeve white with a blue pattern dress and a red belt. Others with a white with pattern blouse and dark blue skirt, and some have a red sleeveless jumper over their uniform, and some are wearing a dark blue cardigan or long sleeve dark blue jumper. Three staff are wearing day wear, one with a purple blouse and black skirt, another with a white blouse and pale blue skirt and the third wearing a white blouse, brown cardigan and bone slacks.. royal district nursing service, rdns, rdns centre, rdns uniform

This photograph is showing a procedure performed by an RDNS Sister in the home of an elderly lady.Education was an integral part of Melbourne District Nursing Society (MDNS) from its inception in 1885, later called Royal District Nursing Service, (RDNS). Only Trained 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. In 1961 Education programs commenced at MDNS with Sisters receiving In-service education. Staff could also apply for scholarships to further their education outside of RDNS. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, 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 a Community Nursing Education Program extended to student nurses from hospitals and to other nursing organizations. 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.This Black and white photograph is showing Sister Liddalow, of the Royal District Nursing Service (RDNS), linking up a home dialysis unit into the left arm of an elderly lady. The lady who wears glasses and has wavy hair, is wearing a white nightdress with lace at the neck and down the centre front. Her left arm is resting on top of a surgical cover and she is clenching her left fist and has a tourniquet above her elbow. She is sitting against a flower patterned pillow on her bed watching the procedure. Sister Liddalow has short dark hair and is wearing a white gown over her uniform. She has a glove on her right hand and a syringe in her hand. In the left rear IV apparatus, with two syringes and a trolley on which a machine can be seen.date of photographroyal district nursing service, rdns, patient care - home dialysis, sister liddalow,

The RDNS Sister is visiting a lady in her own home to take and record her blood pressure reading. The Sister will assess if these readings are within normal limits and relay these readings to the lady's Doctor as necessary. The RDNS uniform worn by the Sister is a white short sleeve blouse under a royal blue V neck tunic style dress and a dark blue cardigan. The Trained nurses (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 RDNS 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.A black and white photograph showing on the left, a Royal District Nursing Service (RDNS), Sister who has short dark curly hair and who has the ends of a stethoscope in her ears and with her left hand holding the other end below the blood pressure cuff on an elderly lady's extended right arm.. She is looking down at the blood pressure dial which is held in her right hand. The Sister is wearing her RDNS uniform of a white blouse, the peaked collar of which can be seen, under a darker V neck tunic style frock and a dark cardigan. The lady who has short grey curly hair, is watching the procedure. She is wearing a grey short sleeved frock with a broach at its neck and with dark long sleeves seen underneath. The lady is sitting in a patterned padded chair which has a carved wooden top. Long opened curtains with voile curtain in the centre can be see behind her. In the left background, part of a cabinet with ornaments can be seen, and in the left foreground part of a patterned lounge chair can be seen.royal district nursing service, rdns, rdns patient care - blood pressure check

The RDNS Sister is giving care to the elderly man in his own home. She is wearing her winter uniform of a blue/grey skivvy worn under a blue/grey herringbone woolen V neck tunic style dress.The Trained nurses (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.Black and white photograph showing a Royal District Nursing Service (RDNS), Sister, who has short dark hair and is wearing the RDNS winter uniform, standing side on to the right of, and attending, an elderly gentleman who is seated on a couch in his lounge room. On the left, the gentleman has sparse light hair and is wearing dark pants and top over a tartan shirt. A white towel is laying on his right leg. To his right, the Sister has her right arm outstretched straightening clothing at his neck, and is supporting a glass in the mans left hand with her outstretched left arm and hand. The glass is partly hidden by her hand. The man is looking up at the Sister and has his right hand near the glass. The Sister is wearing a uniform skivvy under a V neck tunic style dress. In the background, part of floral curtains and white voile curtains can be seen.Photographer stamp. Quote No. DO 75royal district nursing service, rdns, rdns patient care, rdns uniform

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

Miss Wright is Director of Education at Royal District Nursing Service (RDNS). She is sitting at a desk in the Education Department which was in Headquarters, 452 St. Kilda Road, until 1974 when it relocated to larger premises at 448 St. Kilda Road. Education was an integral part of Melbourne District Nursing Society (MDNS) from its inception in 1885, later called Royal District Nursing Service, (RDNS). 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. In 1961 Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Staff could also apply for scholarships to further their education outside of RDNS. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Homeless persons Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home and to Mount Royal Hospital to observe the care of clients in the rehabilitation ward.. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Sisters. Black and white photograph of Miss Ora Wright, who has light coloured wavy hair and is wearing a grey long sleeve top with a long string of mixed coloured beads hanging over it. She is sitting behind a dark coloured wooden desk and has a pen in her right hand poised to write on a white sheet of paper. Her left arm is bent with her hand holding the light coloured hand-piece of a telephone to her left ear. There is a large blotter and other sheets of white paper on the desk as well as three thick books standing on the front right hand side of the desk. Behind her to the right is a two drawer filing cabinets and above this is a large board with charts running down it. On the left hand side of the photograph a low table with papers stacked on it. Above this, attached to the wall, is a rectangular board with horizontal and vertical rows marked out and some white cards on it. On the far right of the photograph, part of a wall and open Venetian blinds over a window can be seen.Photographer stamp and Quote No. DR 2royal district nursing service, rdns, rdns education, ora wright,

Miss Wright is the Education Director of Royal District Nursing Service (RDNS) and is giving a lecture to the RDNS staff. Two of the RDNS Sisters are wearing their summer uniform which was a royal blue V necked tunic style frock, with the RDNS badge emblazoned on the upper left hand side, over a short sleeved white blouse. Three of the Sisters are wearing their winter uniform of a blue/grey skivvy under a blue/grey herringbone V neck tunic style winter material dress.Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sister Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters graduated from the College of Nursing in Community Health, Education and Administration and several travelled overseas visiting nursing organizations viewing their public health and district nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home, and to Mount Royal Hospital to observe the care of clients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin did a Post Basic Course in Psychiatric Nursing and included this area in her education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS SistersBlack and white photograph showing Royal District Nursing Service (RDNS), Miss Ora Wright seated at a table in discussion amid a group of nine RDNS Educators, Physiotherapists and Clerical staff. Miss Wright has short light coloured hair and has her head turned to her right. She is wearing a long necklace of mixed coloured beads over a light coloured top. Three of the staff are standing behind the seated group. Three staff are seated either side of Miss Wright. Two of the RDNS Educators are wearing white short sleeve blouses under a V neck tunic style dress and the other three are wearing a light coloured skivvy under a V neck grey tunic style dress. The RDNS insignia on a white background can be seen on the upper left of each RDNS uniforms. A blackboard full of white writing can be seen in the left rear of the photograph and several tables joined together are in the foreground. Two books and several sheets of white paper are in front of the seated staff.Photographer stamp. Quote No. DR 12royal district nursing service, rdns, rdns education, rdns clerical staff, rdns physiotherapist, miss ora wright

Sister Ford is based at Moorabbin Centre and is visiting a patient in her home to give her nursing care. Sr. Ford's uniform coat was of blue/grey herringbone winter material and the RDNS curved insignia is attached to her upper left sleeve, It has a royal blue background edged in white and the words "Royal District Nursing Service" written in white capital letters.The Trained nurses (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 their 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 Royal District Nursing Service,(RDNS), Sister H. Ford, who has long dark hair drawn back and is wearing her RDNS winter uniform grey coat with RDNS insignia on the upper sleeve, standing in front of the opened wire door on the veranda of a patient's home. She has her right hand resting on the door frame and she is holding the black handle on the top of her black oblong nursing case in her left hand. To her left is the partially opened white wooden door with upper glass area, with the partial view of a lady seen in the opening. The lady has dark short hair; is wearing glasses and a light coloured frock and cardigan. The white wooden boards of the house can be seen. Photographer stamp. Quote No. KY 60royal district nursing service, rdns, rdns patient care, sister h. ford, rdns centre

Sister H. Ford is from the RDNS Moorabbin Centre and is visiting a patient to give her nursing care. She is standing with the lady on her veranda. Sister Ford is wearing her RDNS winter uniform coat which was made of blue/grey herringbone winter material. The coat has a collar and is buttoned at the front. The RDNS curved insignia attached to the top of the sleeve has a royal blue background edged in white and with the words "Royal District Nursing Service" written in white capital letters.The Trained nurses (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 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.On the left of the black and white photograph is the upper frontal view of Sister H. Ford from the Royal District Nursing Service,(RDNS). She standing with a lady on her veranda. Sister Ford, who has her long dark hair drawn back is smiling at the client. She is wearing her grey uniform coat To her right is a partial back and side view of the lady, who has short dark curly hair and is wearing glasses. She is wearing a light coloured top and has a string of pearls around her neck. A tall wooden fence and flowering bushes are seen in the background.Photographer stamp. Quote No. KY 62royal district nursing service, rdns, rdns patient care, sister h. ford

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

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

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

Sr. Tarn is based at the RDNS Heidelberg Centre and is wearing her RDNS uniform of a royal blue V neck tunic style frock over a white short sleeve blouse, and her uniform royal blue peaked cap with the central attached RDNS insignia. The photograph is taken at two year old Lynette Singh's home. 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 and outer suburbs with Heidelberg Centre opening in 1971. 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 re-sterilization, and contact other medical and community personal as necessary. The Trained nurses (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 their 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 of Sister (Sr.) Joan Tarn of Royal District Nursing Service (RDNS), holding little Lynette Singh in her arms. On the left of the photograph is the upper view of Sr. Tarn who is slightly turned to her left, and has her left arm under Lynette supporting her, and her right hand is on the upper area of Lynette's left arm . She is smiling as she holds Lynette who has a round visage; is looking to her left and her dark curled hair is against Sr. Tarn's left cheek; her left arm is extended over Sr. Tarn's right shoulder. She is wearing a frock with a white background and dark poker dot top section and a darker patterned skirt. Sr. Tarn is wearing her RDNS uniform of a dark V neck tunic style frock over a white short sleeve blouse. Her uniform peaked cap with the central RDNS insignia is worn over her dark curled short hair. In the background the weatherboards of Lynette's home can be seen with a short curtain covering part of a window.Photographer stamp. Quote No. LF 88royal district nursing service, rdns, sister joan tarn, lynette singh

The photograph is taken in the RDNS Education Department at 448 St. Kilda Road, Melbourne. Mrs. Gerardi and Mr. J. Psaros are Telephone interpreters. Sr. E. Comb is learning, by role play, how best to communicate with people who have limited understanding of English. The other Sisters are observing the role play. One Sister is wearing the RDNS winter uniform of a dark blue cardigan over a light blue/grey skivvie and V neck tunic style frock made of blue/grey herringbone winter material. Sr. Perillo is wearing the RDNS summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock. The RDNS logo is seen on the upper left of the frock. The other uniforms are a royal blue dress with white piping around collars.The Trained nurses (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. The RDNS Trained nurses (Sisters) visited patients from many different cultural backgrounds, and Education was given to their Sisters to assist them when speaking with the patients and giving them care. 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.In the left foreground of this black and white photograph is a side-on view of Mrs. G, Gerardi, who is wearing glasses; has dark curly hair, and is wearing a black and grey vertically striped dress. She is sitting on a chair in front of a group of RDNS Sisters sitting at small rectangular tables which are butted together. Slightly to her left rear sits Mr. J. Psaros, who has short thick dark hair; is wearing a black leather type jacket, black trousers, white shirt and dark tie. He is looking at Mrs. Gerardi. To his left sits Sister (Sr.) E. Comb, who has short dark hair and is wearing a uniform dark cardigan over a dark dress with white piping on the collar. She is facing the group and looking at Mrs. Gerardi. In the centre of the photograph is the first of the seven RDNS Sisters at tables, five in the front, and two partly hidden in the row behind; they are also looking at Mrs. Gerardi. This Sister has curly dark hair and is wearing day clothes of dark slacks and a dark top, with white circle logo, over a white blouse the peaks of which are seen. The Sister. to her right has short straight dark hair and is wearing a dark cardigan over a light grey skivvie and V neck tunic style frock. The name on a card in front of her is indistinguishable, but 'Footscray' is seen. The next, Sr. Arrisa Perillo, has short curly dark hair and is wearing a short sleeve white blouse under a dark V neck tunic style dress. Her name and the word 'Footscray' is on a card in front of her. The next Sr. has short blonde curly hair and is wearing a dark cardigan over a dark dress with white piping around the peaks of the collar. The next the Sister is partly hidden. Her name is written on a card in front of her, this is indistinguishable except for the word 'Caulfield'. A large dark handbag with light colour motif on it, sits on the light colour carpet under the front section of Sr. Perillo's table. In the background are five windows with open Venetian blinds. Barry Sutton. Quote LJ60rdns education, royal district nursing service, rdns, telephone interpreters, mrs g. gerardi, mr j. psaros, sister e. comb, sister perillo