This photograph is taken in one of Melbourne's Public Hospitals. The Liaison Sister is learning the transfer technique required to transfer Julianne. She will then relay this information to the appropriate RDNS Centre where it will be passed to the Sister who will be visiting Julianne and attending to her care when she is discharged from hospital.Liaison had occurred between Doctors and the Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), nursing staff, but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many clients that required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective clients, co-ordinated discharge and booked the first visit by the visiting RDNS staff. 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 in the field and Doctors when patients were referred by General Practitioners and did not attend a hospital. From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by their Trained nurses (Sisters). As well as teaching and supervising the use of equipment, the Sisters taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. RDNS at first contracted, and then in then employed a Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family 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 Royal District Nursing Service (RDNS), Liaison Sister, who has short dark hair and is wearing her RDNS grey uniform dress, in a bent position over a bed with her arms extended and under the legs of, and assisting, hospital patient, Julianne Goney as she is transferring from her bed into a wheelchair. Julianne, who has her long hair drawn up and is wearing light coloured slacks and top with a chain and locket hanging down it, has her right arm extended and her hand gripping a triangular monkey bar; her left hand is extended reaching the far arm of the wheelchair. Dr. R. Bartlett, who has short dark hair and is wearing a white coat, is behind and to the right of Julianne.with his left arm bent and his hand under her armpit assisting her to transfer. Julianne's buttocks and the heels of her shoes are just touching the light coloured coverings on the white metal frame bed. Part of a wall and two windows are to the left of the RDNS Sister. Part of a white locker with a bowl and apple on it, is seen behind the doctor and part of a privacy curtain is seen to the right of the photograph.Photographer Stamp Handwritten informationroyal district nursing service, rdns, rdns liaison, rdns uniform, ms julianne goney, doctor r. bartlett

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

This photograph is taken in Footscray Centre and Sister Ellen Anderson is the Supervisor of this Centre. Mrs. Hogan is the Clerical Officer working at Footscray and discusses any phone calls received with Sister Anderson.Gradually over the years, Melbourne District Nursing Service (MDNS), later known as Royal District Nursing Service (RDNS), from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area, taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical and community personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister. Clerical staff worked in each Centre.Black and white photograph of Royal District Nursing Service (RDNS) Sister Anderson and Mrs. Hogan in the office at Footscray Centre. Mrs. Hogan, on the left hand side of the photograph, is wearing glasses; has short dark hair and is wearing a dark coloured dress. She is holding a sheet of white paper in her right hand and is holding a telephone to her ear with her left hand. She is turned sideways on the chair at a desk and is facing Sister Anderson on her right. Sister Anderson has short dark curly hair and is wearing her RDNS grey long sleeve uniform dress with a pen in her left upper pocket. She is sitting at a desk; which has a large blotter and an open page calendar on it, and is holding an open folder. She is looking at Mrs. Hogan. Part of a typewriter on Mrs Hogan's desk, can be seen in the left foreground. A small telephone switchboard with telephone books on it, can be seen in the left background. Above this is a rectangular dark coloured board with hooks and some keys on it is attached to the rear wall. To the right of this is a large black rectangular board with the heading "Royal District Nursing Service Footscray Centre". This is marked off in sections and shows "The Daily Visits". Part of some windows can be seen above this.Photographer stamp. Quote No. 11 Aroyal district nursing service, rdns, rdns centre, mrs hogan, sister ellen anderson

Sister Prentice is visiting Mrs. Morgan in her home and is applying a lotion around the outside of Mrs. Morgan's leg ulcer. Following this application Sr. Prentice dressed the wound with the dressing material as ordered by Mrs. Morgan's Doctor. Under her gown, Sister Prentice is wearing the RDNS winter uniform introduced in 1971, which was a grey/blue skivy under a blue/grey herringbone woollen V neck tunic.From its inception in 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) provided wound care to their patients, who ranged in age from the very young to the elderly. The methods and medication applied to wounds changed as research developed better products. MDNS received Royal patronage in 1966 and as Royal District Nursing Service (RDNS), the Education department developed programs, such as the Leg Ulcer Management Program, to provide their trained nurses (Sisters) with methods of best quality care. The Sisters liaised with the patient’s Doctors and Hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctors. RDNS introduced Wound Care Specialists who did assessments and provided advice and support to the District Sisters working in the field. On the right of the black and white photograph is Royal District Nursing Service (RDNS), Sister Cheryl Prentice, who has dark shoulder length hair and is wearing a white gown over her RDNS uniform, the sleeves of which are seen. On her left Mrs. Morgan is sitting propped against a pillow at the top of her bed and has her knees slightly bent with legs extended. Sr. Prentice, who is looking at her right hand, is holding a small open bottle in her left hand and has her right arm extended across Mrs. Morgan's legs, with the fingers of her hand touching the skin on the far side of an open ulcer wound on the right leg of Mrs. Morgan. Mrs. Morgan, who has short light coloured hair, is wearing a cardigan over her floral frock, is looking at the procedure. The bedhead has fine turned wooden slats and the bed coverings are a checked rug and chenile bedspread with a floral towel under Mrs. Morgan's legs.. Photographer stamp. Quote No. DN 77 Handwritten informationroyal district nursing service, rdns, rdns wound care, mrs morgan, sister cheryl prentice

The RDNS Sister is visiting the gentleman in his home and has dressed the wounds on his toe. The dressings applied have been ordered by a Doctor. Under her gown, the Sister is wearing her RDNS winter uniform of a blue/grey skivvie under a tunic style frock made of blue/grey herringbone winter materialFrom its inception in 1885 the Trained nurses (Nurses) of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care. When sterilized dressing trays were used for the first visit, and if applicable, the Sister demonstrated how to sterilize a 'home set up', using the washed forceps from the tray and using a clean cup and plate, making sure there were no chips or cracks, which were to be used to hold lotion and dressings at the time of future visits. They were given written instructions in how to sterilize this equipment in a saucepan on the stove prior to the next RDNS visit. Patients bought their own dressings, if not supplied by a hospital, and the attending Sister demonstrated how to sterilize these in the oven, using a casserole dish as a receptacle. Clear written instructions were left with the patient.Black and white photograph showing a Sister from the Royal District Nursing Service (RDNS), giving specific care to the feet of a gentleman. The RDNS Sister has shoulder length dark hair and is wearing a white gown over her RDNS uniform. The gentleman has balding dark hair and is wearing a dark dressing gown over his pyjamas. He is seated in a recliner chair in his lounge room and has his legs extended with his feet resting on the recliner foot. He has a slipper on his right foot and nothing on his left foot. The Sister is sitting on a stool to the right of him him with equipment, a cup, saucer and forceps and a casserole dish containing dressings, on a tray in front of her on a small square wood and cane stool. She has her right hand on the gentleman's left foot and pieces of dressing material can be seen around three of his toes. There is a patterned rug, under the recliner chair, sitting on top of the carpet. To the left of the chair part of a brick fireplace can be seen. Two windows with open short patterned curtains can be seen in the background. In the right foreground, part of a white and floral tablecloth can be seen hanging over a low table.Photographer stamp. Quote No. DN 86royal district nursing service, rdns patient care, rdns wound care

The RDNS Sister is visiting the mother and babe in their home. She is using sterile equipment and swabs to firstly moisten the tulle gras to enable ease of its removal before redressing the open areas on the babes skin with sterile dressings. With RDNS visiting the home of the mother, the young babes routine can continue to be established at home, rather than them having to regularly visit a Doctor or Hospital department for redressing of the babes lesions. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885, provided wound care to their patients who ranged in age from the very young to the elderly. The patients required their wounds to be dressed following various types of surgery, accidents, burns, skin conditions, cancer, leg ulcers etc. As research developed better products and dressing materials, the methods and medication applied to wounds changed. MDNS received Royal patronage in 1966 and as Royal District Nursing Service (RDNS), the Education department developed wound care programs, such as the Leg Ulcer Management Program to provide their Trained nurses (Sisters) with methods of best quality care. They ran a program for Wound Care Specialists who made assessments and provided advice and support to the District Sisters working in the field as needed. The Sisters liaised with the patient’s Doctors and Hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctors. On the left in the black and white photograph is a Royal District Nursing Service (RDNS), Sister, who has short, straight blonde hair, and is wearing a white gown over her uniform is bending over a bassinet as she attends a baby with a skin condition. The Sister has her arms extended with a pair of forceps in her left hand, and in her right hand, another pair of forceps with a cotton wool swab attached is touching tulle gras on one of the wounds on the babes outstretched right arm. The baby is on her covered change table and is wearing a singlet and an opened patterned jumpsuit with her right upper area uncovered. Her mother, who has short dark hair and is wearing a dark sleeveless V neck tunic style frock over a light coloured long sleeve top, is behind and bending over the change table holding her babes right outstretched hand. She is also holding a dummy in that hand. The mother's left extended arm and hand is on the left shoulder of her babe. The baby, who has sparse hair, is looking up at her mother; signs of a skin condition can be seen on areas of the babes face and head.Photographer stamp. Quote No. DO 50royal district nursing service, rdns, rdns wound care

Royal District Nursing Service (RDNS) Sisters worked from this, their rented Collingwood Centre at 98 Charles Street, Collingwood, which opened in 1977. The Sisters left each morning taking any sterilized equipment needed with them to carry out their nursing visits in a specific area (district), 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. From its inception as Melbourne District Nursing Society (MDNS), in 1885, their Trained nurses (Nurses) worked in specific areas, 'districts'. The first Nurse worked east and west, between Victoria Parade and Flinders Street and, north and south, between Spencer Street and Spring Street. When a second Nurse was employed they divided this area at Elizabeth Street so each Nurse could attend to patients in the same area giving continuity of care. 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. Through its expansion quality of care was not lost, the RDNS nursing staff gave best practice care in many fields of nursing and to people of many cultures with their patients ranging in age from babes, children, adults to the elderly. Some of the care provided was – Post-Natal care, Diabetic Care, Wound Care, Giving of injections and medications, Catheterizations on children and adults, Stoma care, Dementia care, Palliative Care, General care, Rehabilitation, Spinal care, Cystic Fibrosis care, Haemo-Oncology care, Home Enteral Feeding care, and IV therapy at home. Assisting with rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds. All care included giving advice and support to the patient and their Carers. Black and white photograph showing the front facade of the Royal District Nursing Service (RDNS), Collingwood Centre. It is a Victorian style, single story, light coloured painted concrete faced building built around the 1870s. To its left is the front wooden door with a small central glass section in the upper center, and a wire door in front of this. To its right is an Electricity Department meter attached to the wall, and under this a large "98" and to its right, and a little lower is an attached rectangular white sign, with black capital letters, saying "Royal District Nursing Service" and below this in smaller letters "Collingwood". To the right sits a long sash window with dark frame. At either end of the building white concrete face extensions, with embellishments, support a corrugated iron straight veranda roof, with wrought iron embellishment attached to its outer edge. This sits above the window and door and runs along the building protecting the small porch. Above this, along the building, is deep decoration, including a row of concrete balusters and above and central is a concave shell shaped structure. A short dark metal spiked fence runs along the edge of the narrow garden bed. In the foreground the footpath and part of a road can be seen. A small bare tree can be seen on the left hand side of the building and a small bush on the right hand side.Photographer stamp. Quote No. DO 66royal district nursing service, rdns, rdns centre

RDNS Sister Marilyn Smith is visiting the little girl in her own home to apply sterilized dressings, as ordered by a Doctor, to the wounds on her body. Visiting the child at home provides her with a familiar environment to undergo the procedure. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885, provided wound care to their patients who ranged in age from the very young to the elderly. The patients required their wounds to be dressed following various types of surgery, accidents, burns, cancer, leg ulcers etc. As research developed better products and dressing materials, the methods and medication applied to wounds changed. MDNS received Royal patronage in 1966 and as Royal District Nursing Service (RDNS), the Education department developed wound care programs, such as the Leg Ulcer Management Program to provide their Trained nurses (Sisters) with methods of best quality care. They ran a program for Wound Care Specialists who made assessments and provided advice and support to the District Sisters working in the field as needed. The Sisters liaised with the patient’s Doctors and Hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctors. On the left of this black and white photograph is Royal District Nursing Service (RDNS), Sister Marilyn Smith, who has short dark hair and is wearing a white gown over her RDNS uniform kneeling on the floor as she dresses the wound of a young girl. Sister Smith is kneeling on a white covering which is placed over the patterned carpet in the lounge room. Only the back of her head can be seen; her left arm is extended and bent over the head of a seated small girl; she has a forcep in her hand. The young girl, who has shoulder length dark hair, is seated on the white covering and has her right hand on Sister Smith's right arm. She is watching as Sister Smith is removing a dressing from a wound on her left side. The child's left arm and hand are held above the dressing. A wound can also be seen on the girls left thigh. In the left rear, part of a patterned couch can be seen and part of a white curtain to its right. Behind the little girl, part of a brick fireplace and gas fire can be seen.Photographer stamp. Quote No. DO 58 mdns, melbourne district nursing society, royal district nursing service, rdns, rdns patient care - wound dressing, sister marilyn smith

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,

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

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

The RDNS Sister is giving Post Natal care to the Mother and babe. She is wearing her RDNS summer uniform which is a white short sleeve blouse under a royal blue V necked tunic dress with the RDNS insignia emblazoned on the upper left.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 the patient was transferred to their care. Following birth they gave Post-Natal care to both the mother and babe. 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 an 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 nurses working from a room at Footscray Hospital, and visiting early discharged Footscray Hospital maternity cases at home. Now as Royal District Nursing Service (RDNS), this service was extended to a 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.Black and white photograph of a Royal District Nursing Service (RDNS), Sister visiting a family in their home. The family are sitting on a dark coloured couch. From left to right:- The father, who has short dark hair and is wearing a light coloured patterned shirt and dark pants, is looking at his young blond haired daughter who is sitting on his right knee. She is wearing a light coloured top and darker coloured bib and brace pants. The mother, who has long dark hair and wears glasses,.is next to him and is smiling and looking towards the RDNS Sister. She is wearing a long sleeve buttoned grey top and darker coloured slacks, and is holding her babe in her lap with both hands supporting the baby's head. The babe has sparse dark hair and is wrapped in a white bunny rug. Next is a young girl, who has short dark hair and is wearing a light coloured top, darker coloured slacks and has her hands on the top of her left striped sock. Seated on the far right is the RDNS Sister, who has short straight dark hair, and has her face turned towards the child and mother. She is wearing her RDNS uniform of a short sleeve white blouse under a dark V neck tunic style dress which has the RDNS insignia on its upper left. The Sister has a pen attached to the V neck of the tunic and is holding a note book in her hands. She has a watch with a dark band attached to her left wrist. In the background part of a wooden and glass door can be seen and a patterned wallpapered adorns the wall behind the couch.Photographer stamp. Quote No EA 28melbourne district nursing society, mdns, royal district nursing service, rdns, dimc, mdns midwifery, rdns domiciliary infant and maternal care

General and Midwifery trained RDNS Sister Kaye Pilmore is supervising a Mother feeding her new born infant in their home. Sister Pilmore is wearing her RDNS summer uniform, which was a royal blue V neck tunic style dress, with the RDNS badge emblazoned on the upper left, worn over a short sleeve white blouse. 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 days. 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 an 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 the 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 the DIMC section also had their Triple Certificate in Infant Welfare, though double certificate Midwifery trained nurses also made DIMC visits. Black and white photograph showing a Royal District Nursing Service (RDNS), Sister sitting to the left of a mother who is holding her babe whilst she feeds her with a bottle. The Sister has short straight dark hair and is wearing her RDNS uniform of a dark V neck tunic style dress, with the RDNS badge emblazoned on the upper left, over a short sleeve white blouse. She is turned towards the babe and mother and is holding a sheet of white paper in her right hand and her left hand is supporting the end of the glass feeding bottle. The mother, who has long dark hair and is wearing glasses, and a grey long sleeve top and darker coloured slacks, has her baby across her knees with her left arm bent at the elbow and her arm and hand supporting her baby's head and neck. She is holding the feeding bottle with her right hand and the teat of the bottle is in the baby's mouth. The babe has sparse dark hair and is wrapped in a white bunny rug. They are sitting on a dark coloured couch with check cushions on the seat. A small low table is to the right of the couch against the wall. Patterned wallpaper can be seen on the wall behind the couch and table.Photographer stamp.Quote No. EA 35melbourne district nursing society, mdns, royal district nursing service, rdns, mdns midwifery, dimc, mdns post-natal care, rdns dimc, sister kaye pilmore

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

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

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 of the RDNS Clerical staff is taken in the Finance Department at Royal District Nursing Service ( RDNS) Headquarters, 452 St. Kilda Road, MelbourneWhen the Melbourne District Nursing Society (MDNS) was founded in 1885, Mr. L.C. MacKinnon was elected the first Honorary Treasurer followed by Mr. Lush. In 1889, Mrs. Margaret Maine took over the role and held the position several times over the years along with various ladies elected each year from the Committee. Ladies continued to be elected as the Hon. Treasurer when MDNS built the After Care Home and it became the Melbourne District Nursing Society and After Care Home (later Hospital). This continued until the separation of the two Divisions in 1957 with Mrs. F.E. Shillabeer the last Hon. Treasurer. Now, with the District Division becoming Melbourne District Nursing Service, later Royal District Nursing Service (RDNS), A.F. Cameron Esq. J.P. became Hon. Treasurer and held this role until July 1968. As District expanded over the years so did the Finance Department with more Clerical staff employed as required.Black and white photograph showing Mrs Faye Marriett and seven lady Clerical staff who work at Royal District Nursing Service (RDNS). They are in a semi circle in a room. All are wearing their light coloured uniform dresses and dark cardigans.Two are standing to the left with the first, who has short curly dark hair, standing in front of a multi drawer filing cabinet. She is holding a sheet of white paper in her hands while the next lady, with short blonde hair and with her right arm on the cabinet, and with her left leg crossed over her right, is looking down at the piece of paper. To her right the staff member, who has long dark hair is sitting on a stool and has her ankles crossed. She is holding a grey coloured telephone hand piece to her left ear and has a pen in her right hand which is poised on a piece of paper on a table to her right on which stands the telephone, a vase of flowers and a wire "out basket". To the right of this another member, who has long dark hair, is standing behind a lady, with short dark hair, who is using a light coloured typewriter which is sitting on a dark table. The lady, who is standing, is looking down, and has her left hand on an oblong dark card which Mrs. Marriett, who is to her right, is holding in her right hand. Mrs. Marriett has short dark hair and is to the right rear in the photograph. In front of her another member, who has short dark hair, can partially be seen and is standing holding, and looking at, a folder she is showing to the lady in front of her, who has long dark hair, and is sitting on an office chair with her hands on the keys of a light coloured typewriter. The typewriter sits on a dark table top with light side panel table with square metal legs. A patterned carpet can be seen on the floor. Part of a wooden desk is in the front left of the photograph. Part of windows can be seen on either side of the room. Outside the left hand one, part of a fluted column on the building, and trees beyond it, can be seen. Bare trees can be seen outside the right hand window. Photographer stamp. Quote No. KJ 49royal district nursing service, rdns, rdns clerical staff, mrs faye marriett

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

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 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 uniform worn by the Trained nurses of the Melbourne District Nursing Society (MDNS) at that time. It shows part of a Cable Tram being the type of Public transport used by the Trained nurses to visit their patients. This group of Trained nurses are about to board trams to commence their visits to MDNS patients who require nursing care in their homes.District Nursing has had various modes of transport over the last 130 years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained 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 1955. 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 Nurses to patients, and some nurses used their own cars; even a motorcycle was used by one nurse in 1933. All these forms of transport were intermingled until, having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own full fleet of vehicles.A slightly fuzzy black and white photograph which shows six Melbourne District Nursing Society (MDNS) Sisters standing at a tram stop wearing uniforms of full length coats and grey brimmed hats bearing a Maltese cross insignia on the hat band. Each Sister is carrying a square nursing case with a thick handle on the top. Part of a Cable tram, with a 'Spencer Street' sign attached to the top, is on the right of the photograph. Two of the Sisters are about to board the tram. Four Sisters are standing by the 'tram stop' sign. A line of leafless tree are seen behind the Sisters, and white terraced houses are in the background.public transport, mdns, uniforms, melbourne district nursing society, royal district nursing service, rdns, rdns transport

The District nurses are leaving from their Melbourne District Nursing Society (MDNS) Nurses Home, which was situated at 39 Victoria Parade, Collingwood. Their MDNS uniform dresses and coats depicted are grey, and a red Maltese cross is attached to the centre of the headband on their grey brimmed hats. The Sisters will visit MDNS patients and provide nursing care to them in their homes.From its founding in 1885 until 1891 the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked from their own homes which were located in the vicinity of their areas (districts). In November 1891 MDNS was able to rent a two story terraced house at 66 Cardigan Street, Carlton, at £65 a year, which contained accommodation for three Nurses and one pupil nurse as well as being used as their Headquarters. They left from their Nurses Home each morning and returned at the end of their shift to write up their book work before retiring for the day. Three years later they moved into a larger terraced house at 49 Drummond Street Carlton which was rented at ‘a very moderate rental’. There was a Board room, apartments for the Nurses and pupil nurse, a large dispensary which patients could attend each evening to have prescriptions signed and bottles refilled with ‘homely remedies’ and elixirs, which were administered for e.g. to Consumptive cases. Doctor’s prescriptions were filled at the Pharmacy. Cupboards containing donated blankets and bedclothes for needy patients were kept in this room, and it was here where the Nurses kept their equipment and nursing bags which were refilled at the end of each shift ready for any emergency, and for the next day. A list of Doctors the Nurses could call was kept by the telephone. The home also had a kitchen where nourishing soup was made and distributed twice a week to the needy. Milk was also distributed when needed. In 1902 they moved into rented premises at 188 Leicester Street, Carlton and two years later, in 1904, to premises at 5 Royal Terrace, Nicholson Street, Fitzroy. They remained there for ten years and an Auction of furniture was held before their next move giving an idea of some of the contents: - Carpets, linoleum, walnut and oak sideboards, dining tables, walnut dining suite, Vienna chairs, walnut bedroom suite, cedar wardrobes, chests of drawers, duchess chests, bedsteads and bedding and general furnishings were for sale. In June 1914 at last the Society had sufficient funding to purchase their own terraced premises, ‘Floraston’ 39 Victoria Parade, Collingwood which was their Headquarters and Nurses Home. In 1926 the After-Care Home for recovering patients, (later called After-Care Hospital) was built by the Society next door, at 45 Victoria Parade; the District nurses continued to live at No. 39. In November 1953 the District Nursing Division moved into their new Headquarters and Nurses Home at 452 St. Kilda Road, Melbourne. In 1957 the two divisions legally separated and the District division became the Melbourne District Nursing Service. As District expanded, and now with outlying districts to service, and with a fleet of District cars, their trained nurses (Sisters) lived in their own homes and visited their closest District Centre each morning to collect their work for the day, and returned at the end of their shift to do their administrative work. A small black and white photograph showing a side on view of Matron Lydia Shaw who is smiling. She is standing outside the Nurses Home of the Melbourne District Nursing Society (MDNS), and is wearing a white long sleeved belted uniform dress, white stockings, shoes, and a veil over her short dark hair.. She is standing to the left, outside the front gate of the building watching a group of district nurses about to leave the Home. The group are on a path behind the four trained nurses (Sisters) most visible who are dressed in grey belted long sleeved coats which have lapels. They are wearing grey brimmed hats with a Maltese cross in the centre, flesh coloured stockings and black shoes. The first two Sisters are side by side and have just stepped onto the pavement; the one to the right is smiling and slightly turned toward Matron Shaw. Under their coats, both these Sisters are wearing grey scarves around their necks. There is a square concrete column behind Matron Shaw, and another to the right of the nurses. From the right column three metal vertical fence bars are seen with shrubs behind them. Part of a building and doorway can be seen behind the nurses. A brick wall and path is seen on the far left of the photograph.The date 1934 as well as the name of Matron Shaw, Sister Jones and Sister Tupper were hand written on the back of the photographnurses, matron, uniform, melbourne district nursing society, mdns, nurses home, rdns, royal district nursing service, matron lydia shaw, sister dorothy tupper, sister jones

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