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

RDNS Sister E. Anderson is Supervisor of Royal District Nursing Service (RDNS) Footscray Centre and Mrs. J. Simpson is the coordinator of RDNS Auxiliaries. They are admiring items from auxiliaries and other interested friends which will be distributed, as required, by RDNS Sisters to any poor families whom they visit to administer nursing care.From its inception in 1885 Melbourne District Nursing Society (MDNS), held functions to gain finances to run the Society. They also asked the public for donations, ranging from food items to linen for bandages, bed linen, blankets, clothes, including baby clothes, etc to assist in the care of their patients. The public generously responded. Each year the President made a special appeal for donations at Christmas time for food and gifts for the MDNS sick poor. Out of this evolved, in 1925, the first MDNS Auxiliary in the Eastern Suburbs. This extended to Auxiliaries throughout the suburbs who worked to donate money and ‘gifts in kind’ to assist MDNS to continue their work, and to furnish wards in the After-Care Home. Before the District Division of MDNS had its own fleet of vehicles, a Motor Auxiliary was formed in 1929 where the general public, when available, provided their car, and drove Sisters to visit patients who lived a distance away. This was disbanded in 1971 when the, now named Royal District Nursing Service (RDNS), had its own fleet of vehicles. The Jessie Henderson Auxiliary ran a Kiosk and Library with all profits to the Society for 20 years. By 1950 there were fourteen auxiliaries who continued to hold functions when the District division separated from the After-Care Hospital and became Melbourne District Nursing Service, which, with Royal patronage, became RDNS in 1966. A Council of Auxiliaries, with Mrs. J. Simpson at its head, and which comprised of two delegates from each auxiliary, was formed in February 1968 to work for District. There were nine auxiliaries in 1970. They continued to run into the 2000s, but the numbers of auxiliaries reduced over the years, as well as the number of members in each auxiliary as the members aged, so this form of support ceased.On the rear left of the black and white photograph is Royal District Nursing Service (RDNS), Sister E. Anderson, who has short dark curly hair and is wearing her RDNS uniform of a long sleeved grey frock, with a white name badge on the upper left; parts of RDNS insignia are seen on the top section of each sleeve. On the right rear is Mrs. J. Simpson, who has her long dark hair drawn up and is wearing a light grey coloured frock with white lapels, cuffs and a white pocket, all with dark piping. They are both holding baby items and looking at knitted and other donated items which are laying on tables in front of them.Photographers stamp. Quote No. KH 74melbourne district nursing society, melbourne district nursing service, mdns, royal district nursing service, rdns, mdns auxiliaries, rdns auxiliaries, ellen anderson,, j. simpson,

The photograph was taken in the Board Room of Royal District Nursing Service (RDNS) 452 St. Kilda Road, Melbourne. It was taken after Sister Pat (Paddy) Rowley received her Fellowship of the Australian College of Nursing. The Australian College of Nursing describes the Fellowship as follows: "Fellowship of the Australian College of Nursing (ACN), is a prestigious member status awarded to nurses in recognition of significant professional achievement. Fellowship recognizes the experience and contribution of nurse leaders to ACN and the profession".The regalia worn by Sr. Rowley as a Fellow, is a black gown with the wide trim to the front edges of scarlet satin and the regalia hood of inner white and outer scarlet satin. Sr. Rowley is the Principal Nurse Educator at RDNS.Sister Rowley commenced at Melbourne District Nursing Society (MDNS) in 1956 working as a District Nurse in a large district covering South Melbourne, Albert Park, Middle Park, and suburbs bordering from St. Kilda to Port Melbourne. In 1961 she was asked to be a Control Sister answering the telephones in Headquarters. She left MDNS for a short period, and after being asked to return was accepted, in August 1962 to take the MDNS 2nd Post Basic Course written by Miss Mary Evans; during this time Sr. Rowley wrote a paper on Liaison which led to continuity of care of patients between hospitals and RDNS. Following the course she commenced in Education and rewrote the Post Basic Course. In 1964 Sr. Rowley commenced, on a part time basis, working as a Liaison Officer at the Alfred Hospital. She attended the Teachers College, doing the 12 month course in 6 months, but this course did not have a health component, so she applied, and received, a Florence Nightingale Scholarship to the College of Nursing, gaining her Diploma of Nursing Education in 1968. Following this she became the, now named, Royal District Nursing Service (RDNS), Education Officer. In 1969 Sr. Rowley, with Miss Mary Evans, DON, attended the quadrennial Congress of the International Council of Nurses in Montreal, Canada and then Sr. Rowley visited USA looking at Public Health Nursing Education programs. As well as her RDNS work, Sr. Rowley became Nursing Consultant to the St. John's Ambulance Association in 1970, assisting in planning their Home Nursing Course book. In July 1971 Sister Pat (Paddy) Rowley, was awarded Fellowship of the Australian College of Nursing (ACN). The Australian College of Nursing describes the Fellowship as follows: "Fellowship of the Australian College of Nursing (ACN), is a prestigious member status awarded to nurses in recognition of significant professional achievement. Fellowship recognizes the experience and contribution of nurse leaders to ACN and the profession”. Sr. Rowley was then appointed as Principal Nurse Educator and wrote many of the programs for the Education department. Working as an Educator she travelled to regional hospitals, e.g. in Geelong and Ballarat to give lectures on District Nursing. When the Education Department relocated to 488 St. Kilda Road, she arranged the floor plan of the rooms. Sister Rowley retired from RDNS in 1988 having worked for 26 years in Education and a total of 32 years with the Melbourne, later named Royal, District Nursing Service. . Black and white photograph of a three quarter length view of Royal District Nursing Service (RDNS), Sister Pat (Paddy) Rowley. Sister Rowley, who has her head turned slightly toward the left of the photograph, is wearing dark rimmed glasses and has short dark straight hair. Over her light coloured top, she is wearing a black long open gown with wide trim, and regalia hood of white inner and dark outer satin. Her hands are clasped to the front holding a rolled white certificate held closed with a ribbon and bow. In the background the left edge of a framed landscape painting is seen on the wall. Part of Photographer stamp. Quote No. KJ 57royal district nursing service, rdns, fellowship of the acn, melbourne district nursing service, sister pat (paddy) rowley

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 Barbara Watson is an RDNS Liaison Officer and is meeting with Hospital staff and a patient in a Ward at the Alfred Hospital before the patient is discharged home where he will receive the nursing care required from a visiting RDNS Sister. Sr. Watson is wearing her RDNS winter uniform, which is a blue/grey skivvie worn under a V neck tunic style frock made of herringbone blue/grey winter material.Liaison had occurred between doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters) but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, coordinated discharge and booked the first visit by the visiting RDNS District Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a Hospital.Black and white photograph showing Royal District Nursing Service, RDNS, Sister (Sr.) Barbara Watson who is standing with hospital staff and with a patient who is resting in a hospital bed. On the left foreground of the photograph is Sr. Watson, who has blonde shoulder length curled hair and is wearing her RDNS uniform of a light grey skivvie worn under a darker grey V neck tunic style frock. She has her head turned to the left looking at the patient. Next right stands a Doctor, who is wearing glasses and has short dark hair. He is wearing his hospital white coat over his clothes and has his arms folded across his chest. Next right is another Doctor who is at the head of the hospital bed; He has short dark hair and is wearing his white hospital coat over a grey shirt. black tie and dark grey pants. They are all smiling at an elderly man who is sitting up in the bed resting against a white pillow and looking toward them. He is wearing glasses; has short dark sparse hair and is wearing a dark coloured pyjama coat with some white piping, and a white handkerchief in the pocket. He is looking at the three and has his hands clasped on top of the bedclothes. The hospital bed has a white iron frame and an 'over bed table' is at its foot and in the foreground of the photograph. On the right of the bed is a hospital Sister, who has short dark hair; is wearing glasses and wearing her white uniform dress and cap. She is smiling as she looks toward the patient and Doctors. A hospital curtain is against the wall behind her. Part of a window and curtain are seen on the far left of the photograph.Photographer stamp. Quote No. LA 6 Name of hospital and RDNS liaison sister.melbourne district nursing society, mdns, royal district nursing service, rdns, rdns liaison, sister barbara watson

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

This photograph depicts the style of MDNS uniform worn at that time, which was a grey cotton dress and red cardigan, over which was a woolen grey coat. The beret was of grey felt and had a red Maltese cross attached to the centre. Sister Wilson is about to enter her MDNS car, which was one of the early cars in the MDNS fleet, to drive to a patient to give nursing care.Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state they were sold in 1927. A Motor Auxiliary was formed in 1929 to take Sisters to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia cars 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Black and white photograph of Sister Jill Wilson of the Melbourne District Nursing Society (MDNS) about to enter her work car. Sister Wilson is wearing her winter uniform, with a light grey beret over her short dark curled hair, and a long light grey coat which has lapels. She is standing side on, and to the left of the partially seen small white car. She is smiling and looking at the camera. Her right arm is extended with her hand on the handle of the partially opened car door and she is holding a white bag and cloth in her left hand. At her feet is her dark coloured, square shaped, nursing case which has a leather strap around the middle and two light coloured clasps each end, as well as a thick hard handle on the top. She is standing on the road and to her left, on the grass, are two lamp posts; small bushes can be seen as well as two trees in the distance. Two dark coloured buildings, one with a hip roof and one a flat roof, can be seen behind the car. rdns, motor vehicle, nurse, uniform, melbourne district nursing society, mdns, rdns transport, royal district nursing service, sister jill wilson

The Matron and Sisters in this photograph worked in the Melbourne District Nursing Society After Care Home, (later called Hospital) full time and administered nursing care to patients who ranged in age from babes to adults. The Society also had a District Nursing division and these Sisters only worked in the community giving nursing care to patients in their homes.The Melbourne District Nursing Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Society built, then opened, the After-Care Home in 1926, (from 1934 called After-Care Hospital), for these patients, and patients from Hospitals. Many children were nursed there, some long term during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Sisters and nurses, and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records, and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. A trained Almoner was employed by the Society in 1934, doing a great deal of work with Midwifery patients, but she resigned after twelve months due to the amount of work. Due to a lack of trained Almoners, the Society employed a Social Service Officer at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions.A black and white photograph of Matron and twelve Trained nurses (Sisters) standing at the front entrance of the Melbourne District Nursing Society After Care Home, In the front of the portico is the Matron and four Sisters. Matron is dressed in a white long uniform dress and white veil over her short dark hair, and is wearing white stockings and white shores. To her right are four Sisters. Behind them are five Sisters, one standing between the left pair of round columns of the portico and the others to her right finishing just before the second set of columns. Two Sisters are to the left of the left hand column in front of the brick wall of the building. A short brick wall runs from the column to the building and hides the lower half of these Sisters. All the Sisters are dressed with white long aprons with white belts, which are covering their uniforms, only their dark grey sleeves and white collars can be seen. They are wearing white veils covering most of their short dark hair, grey stockings and black shoes. At the top of the portico can be seen the words 'District Nursing Society'. Part of the two story brick building can be seen behind the group; two long windows are visible on the upper and lower sections. To the right of the building some shrubs and a tree can be seen.nurses, after care hospital, uniforms, after-care home, melbourne district nursing society, mdns, rdns, royal district nursing service

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

This photograph shows Royal District Nursing Service (RDNS) Sister (Sr.) Moira Coates doing Liaison work at St. Vincent's Hospital in Melbourne. Miss C. Healy is St. Vincent's Home Care Supervisor and she and Sr. Coates are discussing plans with Miss E. Monks for the future care she requires following her discharge from hospital. Sr. Coates is wearing the RDNS uniform of a royal blue dress with white piping around the peaks of the collar. An RDNS logo is on its upper left. She is wearing a darker blue jacket.Liaison had occurred between Doctors and the the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital.In the left foreground of this black and white photograph is Miss C. Healy who has collar length dark hair and is wearing a hospital uniform dark cardigan over a white blouse and dark skirt. She is sitting on a kitchen style chair and has an open folder; a pen in her right hand is poised over a white sheet of paper. She is smiling and looking to her left at Miss E. Monks who is resting in a bed in front of her. Standing to her right, and at the head of the bed, is RDNS Sister Moira Coates who has short dark hair. and is wearing a dark jacket over a dark colour dress with white piping on the collar peaks. Her identity card is clipped on the right hand pocket. She is smiling at Miss Monks and has her left hand on an RDNS leaflet which Miss Monks is holding. To her right is Miss Monk who has short dark hair and wearing a light coloured nightdress. She sitting up supported against pillows on a hospital bed which has the top section raised. She is looking at the RDNS folded leaflet; two photographs and writing can be seen on the front cover. White bedclothes cover most of Miss Monks body. Drawn curtains are seen in the left rear of the photograph and some switches and a name card are seen behind the bed. Barry Sutton. LJ93 and namesrdns, royal district nursing service, rdns liaison, rdns uniform, sister moira coates, miss c. healy, miss e. monks

This photograph is taken in a Hospital ward and shows a meeting between a patient, an RDNS Liaison Sister; and the Hospital staff, L-R, a Doctor, a Physiotherapist, a Social Worker and an Occupational Therapist. The group are discussing with the patient the ongoing care she will require when shes goes home. The Sister. has an RDNS information leaflet open in her hands which will be given to the lady. From those present, the Sister is ready to write, on the clipboard, any information required to be passed to the RDNS District Sister to carry out the nursing care needed when the lady goes home. The Sister is wearing the RDNS winter uniform of a light blue.grey skivvie under a darker blue/grey V neck tunic style dress made from herringbone winter material.Liaison had occurred between doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS),Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, coordinated discharge, and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital.On the left of this black and white photograph is a Royal District Nursing Service (RDNS) Sister who is seated and has her curly dark hair head, turned to her left looking at a lady who is resting in a hospital bed. The Sister, who is wearing a light grey skivvie under a darker V neck tunic style dress, is holding an open folded page with typed writing seen, in her hands; a pen is sitting between the fingers of her right hand and a clipboard is on the bed. The elderly lady, to her right, is sitting propped up against white pillows on her hospital bed and is looking, and smiling, at the Sister. She is wearing glasses; has curly grey hair; and is wearing a light coloured nightdress. The light coloured bedclothes cover most of her body. On the right of the bed, and from its head down, L-R is:a man who is standing; he has short dark hair and is wearing a leather type jacket over a dark skivvie and plaid trousers. Next, sitting, is a lady who has short slightly waved dark hair; she is wearing a grey round neck sleeveless frock over a light coloured long sleeve blouse. Next, seated, is a male who has short dark hair and a short dark beard.He is wearing a dark grey suit jacket over a light grey shirt and patterned tie. Next, on the far right, standing, is a lady who has curly dark hair and is wearing a hospital white coat over a light coloured skivvie. A Hydronic heater is attached to the lower part of the wall behind the bed and a monkey bar is attached to the centre of the bed. Some flowers are also seen behind the bed and a drawn curtain is behind the staff on the right hand side of the photograph.Barry Sutton LO12royal district nursing service, rdns uniform, rdns liaison

Sister Watt is an RDNS Liaison Sister and has arrived at the Community Care Centre at Southern Memorial Hospital where she works. She attends discharge meetings and visits patients who will need nursing care from RDNS when they go home. Sr. Watt is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style dress made of herringbone winter material. The RDNS logo on the car is a royal blue edged circle with the words "Royal District Nursing Service" written in white capital letters around it. The centre of the circle is divided in three with the upper and lower sections white, and the centre section royal blue with white capital letters "RDNS".Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital.On the left of this black and white photograph is Royal District Nursing Service (RDNS) Sister (Sr.) Helen Watt, who has short dark wavy hair; is smiling and is looking towards the camera. She is standing with her left hand on the bottom edge of a large white sign with a black border and capital letters. It reads, in four lines, "Community Care Centre/, Southern Memorial Hospital/, 240 Kooyong Road/, Caulfield/." Sr. Watt is wearing a light grey skivvie and a darker grey V neck tunic style frock. Her right hand is holding the solid horseshoe style handle on top of a black leather bag with the light colored letters "RDNS" in the upper centre. The sign is held up with white round poles either side. These are placed in a garden bed with low foliage and a rock border. Directly behind Sr. Watt is a grey Torana car with the RDNS logo on the upper section of the door. In the left background, behind the car, is a wooden fence and behind that a brick building with a tiled roof and a large window. In the right background, behind the sign, Is part of a brick building with part of a doorway. It has a flat roof.Barry Sutton LO 28royal district nursing service, rdns, rdns liaison, rdns uniform, sister helen watt

Sister Watt is an RDNS Liaison Officer and has assisted a hospital employee to transfer a patient into a car. The lady will be attended by RDNS District Sisters when she returns to her home.Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital.On the left of this black and white photograph is the side-on view of a lady who has short curled hair and is wearing a white hospital coat over a dark skivvie and dark slacks. She is standing against the inside of the open passenger door of a grey car and is holding the removed arm of a wheelchair in her hands. She is looking down at a lady who is sitting in the passenger seat of the car. The lady, who has short curly dark hair, has her head turned to her left and is smiling. She is wearing a grey and black patterned frock. A wheelchair is in front of the opening of the door with the seat, which has a sheepskin on it, close to the car seat and the back of the chair to its right. Sister Helen Watt of the Royal District Nursing Service (RDNS) is standing side-on behind the chair and is holding its handles; her legs are placed between its large wheels. Sr. Watt has curled dark hair and is wearing a light grey skivvie over a darker grey V neck tunic style frock. Only a small section of her face can be seen; she is smiling and looking down at the lady. In the background, part of a brick building with a white framed, open curtained window can be seen. Barry Sutton LO 34royal district nursing service, rdns, rdns liaison, sister helen watt

This group and RDNS Sisters are at a meeting at Fawkner Park Community Centre and are listening to the lady on the left who is pointing out information to them.. Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals and Community Centres would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS) Trained nurses (Sisters), but also for the patients of RDNS and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from Hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital. District Sisters also liaised with personnel attached to Community Centres.This black and white photograph is of a group of two men and five ladies, three of whom are Royal District Nursing (RDNS), Sisters, sitting at a large dark wooden table which has an open folder and papers with diagrams or information on them, Notepads and pens sit in front of several. L-R is a partly hidden man who has short dark hair; wears glasses, a dark suit over a white shirt and dark tie. His left hand is up to his face. Next is another man with short dark hair who wears glasses; has a grey suit, white shirt and patterned tie. His right hand is up to his face. Next is a lady with short curled hair who is wearing a dark patterned and white edged vest over a round neck grey jumper. She is looking at, and holding a pen in her right hand poised over, a sheet of paper with columns and writing on it. Next is an RDNS Sister with collar length dark curled hair, who has her left hand up to the side of her face. Then an RDNS Sister with short straight hair. Next is a lady with her dark hair drawn back and wearing a white jumper; she has her hands up to her chin. Next, and far right, is an RDNS Sister, who has short straight blonde hair and has a pen in her right hand. Her left hand, with a dark watch at the wrist, is up to the side of her face. The group are all looking at the columned information sheet which the lady on the left is pointing out with her pen. The RDNS Sisters are wearing light grey skivvies under dark grey V neck tunic style frocks.Barry Sutton LO 40royal district nursing service, rdns, rdns liaison, rdns uniform

This photograph shows an RDNS Sister doing Liaison work at a Hospital. She will pass the information given about the babe to the RDNS Domiciliary Infant and Maternal Care (DIMC) Sister who will be visiting the baby and her family in their home. Sr. Schofield is wearing the RDNS winter uniform of a blue/grey skivvie under a V neck tunic style frock made of herringbone winter material.Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS) Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge, and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor in the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in DIMC also had their triple Infant Welfare Certificate, though double certificate Midwifery trained Sisters also visited. On the left of this black and white photograph is Royal District Nursing Service (RDNS) Sister Margaret Schofield, who has her long dark hair drawn back, and is smiling as she looks down at a baby being held in the arms of a Hospital Sister. Sr. Schofield is wearing a light grey skivvie under a V neck dark tunic style frock. She has a pen in the V of her tunic, and has a watch hanging under the RDNS logo on its left hand side. Her left hand is resting on a white table which has baby scales with a wicker basket on it. To the right, is the Hospital Sister, who is side-on and facing Sr. Schofield. She is wearing dark rimmed glasses; has her long dark hair drawn back and is wearing a dark cardigan over her white uniform. She has her right arm under the baby with her hand on babe's right leg; her left hand is holding the baby's feet. The baby has sparse dark hair and is wearing a white patterned jacket. Part of a dark filing cabinet is on the right of the photograph and behind the Sisters is a large window, then grass, small shrubs and part of a corrugated clad building can be seen beyond.Barry Sutton LP 43royal district nursing service, rdns, rdns dimc, rdns uniform, sister margaret schofield

The equipment items in this photograph are loaned out to Royal District Nursing Service (RDNS) patient's to use in their homes. They are returned to RDNS and sterilized, or cleaned with disinfectant, whichever is appropriate, once they are no longer required. The material items are given to patient's as required. Many of these items are made and donated by RDNS Auxiliary members. From its inception in 1885, the two Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses and clothes as necessary. The Society was at the forefront of health care and continued to liaise with Doctors as the Society expanded. 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, 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; Over the years items were given and equipment was loaned and demonstrated to patients, and if appropriate, to their family members to enable them to care for their loved ones in their homes. The Trained nurses had the rehabilitation of their patients in the forefront of their minds to ensure they were able to live as independently as possible in their own homes. As the years passed the Trained nurses changed from being called 'Nurse' to 'Sister' and the Society changed its name. In the 1970s, now with Royal patronage, and known as Royal District Nursing Service ( RDNS), they contracted a Private and then employed, a Physiotherapist who taught RDNS Sisters the correct transferring techniques, including the use of a hoist when this became available. RDNS Sisters taught and used these techniques in patient’s homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members. Each RDNS Centre had a room or shed where equipment for loan was kept, and Headquarters also kept additional equipment which could be transported to Centres as required. This black and white photograph shows some of the equipment loaned, along with some to be given, to Royal District Nursing Service (RDNS) patients as required. Rear L-R - a white long nightdress with dark embroidery and buttons on the front and embroidery on the edge of the short sleeves. Next are two wooden bath seats; a square metal commode with lid and with its round legs extended to form handles on the left and right sides. A folded dark and white striped crocheted rug hangs over one of the handles. In the centre L-R, is a metal bed cradle, a metal 4 prong walking stick, bed pans, male urinal, stack of nappies with a white child's knitted jumper hanging over them, and a doona. In the front, L-R is a grey blanket, dark coloured bed socks, a sheepskin with a white smocked baby dress sitting on it, and a white babies nightgown on a clear plastic covered white bundle. A black mat sits under these items and a cream brick wall is in the background. Barry Sutton LS 47royal district nursing service, rdns, rdns equipment, rdns auxiliaries

This photograph is taken in the lounge room of Mrs. McCoubrie's home in Dudley Street, Fitzroy. Sr. Fullarton is assisting her to regain her independence from being wheelchair bound to walking with a 4 prong stick.From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to ensure they were able to live independently in their own homes was at the forefront of care given by their Trained nurses. As well as teaching and supervising the use of equipment, their Trained nurses taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. RDNS at first held workshops given by a contracted private Physiotherapist before employing their own Physiotherapist in 1975 who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family members. When required the Physiotherapist accompanied the Sister on her visit to the patient in their home. On the left of this black and white photograph, is Mrs. McCoubrie, who is an elderly lady with white curly hair and is wearing dark rimmed glasses. She is standing on a rug between the raised footplates of a wheelchair which is behind her. She is smiling and looking at Sister Ethel Fullarton from the Royal District Nursing Service (RDNS) who is in the right of the photograph. Mrs. McCoubrie is wearing a black frock with white buttons, collar and belt. She has her right hand on the wooden handle of a 4 prong stick and her left arm is supported by. Sr. Fullarton, who is standing side-on, and is smiling at Mrs. McCoubrie. Sr. Fullarton is wearing glasses; has curly dark hair, and is wearing a white gown over her uniform. She has her right hand under, and supporting, the upper section of Mrs. McCoubrie's left arm and is grasping Mrs. McCoubrie's hand with her left hand. In the left background, part of a brick fireplace with a small vase of flowers sitting on the wooden mantelpiece can be seen. A lounge chair is seen on the far right and a patterned carpet is under the dark patterned rug.Barry Sutton LW 1 Names.royal district nursing service, rdns, rdns rehabilitation, sister ethel fullerton, mrs mccoubrie

RDNS Sr. Clare McHugh is attending Mr. Stevenson in his home to give him nursing care. She is about to fasten the wheelchair safety belt across Mr. Stevenson's lap to ensure he does not fall out of the wheelchair. 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 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. In the centre of this black and white photograph is Mr. Stevenson, an elderly gentleman, who has balding light hair; is wearing dark rimmed glasses, and is wearing a black cardigan over a grey shirt. A small amount of his grey trousers can be seen. He is sitting in a wheelchair and is looking at the camera. He has a light coloured small blanket tucked under and over the stumps of his above the knee amputated legs. Standing behind his chair, and slightly to his left, is a lady who is wearing glasses; has wavy light grey hair and is wearing a dark grey cardigan over her light coloured patterned frock. Her right hand is seen holding the handle of the wheelchair, and she is looking down at Mr. Stevenson. To the right is Sister Clare McHugh of Royal District Nursing Service (RDNS), who is slightly bent as she has her hands on the left and right sides of the safety belt across Mr. Stevenson's lap. The belt is attached to either side of the wheelchair. Sr. McHugh has straight blonde hair; only part of her face can be seen as she looks at Mr. Stevenson. She is wearing a white gown over her uniform. In the left background is part of a brick fireplace with wood mantelpiece. A patterned plate and dark items are on the left of the mantelpiece and flowers are seen on the right. Above this, part of a square mirror can be seen. To the right, part of a lounge chair is seen and behind this, an open check curtain and part of a voile curtain is seen. The floor is covered with a light and dark patterned carpet.Barry Sutton LW 6 Namesroyal district nursing service, rdns, rdns nursing care, rdns physiotherapy, sister clare mchugh, mr stevenson