This is the first photograph taken of Trained nurses, who worked with the Melbourne District Nursing Society (MDNS) and has been kept in their Archives (now RDNS) since that time. The photograph, taken about 1892, records the uniforms worn by MDNS Nurses in that era, and records images of Nurse Kennedy, who commenced with the Society at the end of 1891, and worked in the Western District of the CBD until the end of 1893; and Lucy Smith who worked in the Eastern District of the CBD between April 1892 - June 1893 when she left to get married. Nurse Smith trained at the Nightingale Training School for Nurses at St. Thomas's Hospital in London, the first professional nursing school in the world and as such she was given the position of the first 'Head Nurse' at MDNS. Though Florence Nightingale never worked at St. Thomas’s she did form the curriculum for the nurses training and received regular reports regarding the probationers, as well as receiving the nurses in her home during the latter part of their training. According to Lucy's family she met Florence Nightingale. The photograph shows two of the three Trained nurses employed by MDNS at that time. All Nurses employed by MDNS from its inception in 1885 were trained and received their qualification in a Hospital, but in those times were called 'Nurse'. In Melbourne in 1885 it was recognized that skilled nursing was needed in the inner city to care for the sick poor in their own homes. On the 17th of February a meeting was held with prominent Melbourne citizens, five gentlemen and fourteen ladies. ‘Dr. Caffyn and Rev. Charles Strong explained the objects and scope of District nursing Societies that had been formed in other towns’ in UK. On that day the Melbourne District Nursing Society (MDNS) was founded, the first District Nursing Society in Australia. Subsequent meetings were held to form a Committee and to draw up a Code of Rules of the Society. It was decided only nurses who had attended a Nurses Training School and were fully qualified would be employed by the Society, and that the Nurses would keep a daily journal of their work. After interviewing several candidates, the first Trained Nurse, Mrs. Ferguson, was employed with a salary of £100 per annum and commenced work on the 1st of May 1885. She was employed for three months initially, but this was soon extended, “on the understanding she will make arrangements to live in the more immediate vicinity of her district”. A doctor was consulted before any person was seen. In rotation, a member of the Superintendence Sub-Committee supervised the Nurse’s visits and could assist to alleviate some of the poor social conditions they found. Though only Trained nurses were employed, the term ’Nurse’ was used in those days. Lady Janet Clarke, a philanthropist, was one of the first two Vice-presidents and President from 1888 until 1908 (except when overseas); she was a driving force in the Society. She held the first fund raiser for the Society at her home ‘Cliveden’ and went on to help organize many functions where she, along with Committee members, manned the stalls to raise funds. She also took her turn to accompany the Nurse, and was noted for her kindness and benevolence. Over the years the Committee, which was made up of 80% ladies, worked tirelessly for the Society; many Auxiliaries were formed. A second Trained nurse, Mrs. Joanna Cannon, was employed in late 1885, with a trial period of six months which was extended. She and Mrs Ferguson were the stalwarts of the Society in the early years, Nurse Cannon remaining with the Society for four years and Nurse Ferguson for five years, though both had a short break due to the heaviness of the work. Nurse’s salaries were reduced to account for the cost of uniforms, and again in later years when establishments were rented by the Society and the nurses could now live in the Nurses Home. The two Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. From its inception the Society was at the forefront of health care and liaised with doctors. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their Carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and cooked soup when needed. As the work increased a third Trained 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. In 1891 the first Nurses Home was rented for 1 year at £65 per annum at 66 Cardigan Street, Carlton; Nurses wages were now £60 per annum. A Doctor gave lectures from the Home to the public on the understanding and prevention of diseases. The Society decided to commence a Midwifery Service and Nurse Fowler, who had previously worked for the Society, was re-employed as their first trained Midwife. She began home births in August 1893 giving them Ante Natal care, taking midwifery bundles and providing clothes for the babe and mother as needed. Following birth, she gave Post-natal care to the mother and babe twice a day for three days and then daily for a week, and longer if required. She resigned after twelve months and Nurse Wilkie was appointed to the position. As well as walking, the nurses used Public transport in the limited areas it ran, though a taxi was used by the Nurses and Midwife in emergencies and at night. Late in 1891 the Society moved to larger rented premises at 49 Drummond Street and in 1902 moved to 188 Leicester Street, Carlton Sepia Photograph of two Melbourne District Nursing Society (MDNS), Trained nurses; on the left is Nurse Kennedy (sitting) and to the right Nurse Lucy Smith (standing). They are wearing the MDNS uniform of a long grey frock. Over this they are wearing a grey long sleeve jacket with self buttons down the centre. The jacket forms a V at the waist. Nurse Kennedy has a round visage with her central parted dark hair drawn back. She is wearing ear rings and holds the top of a closed umbrella in her left hand, the feral rests on the ground. She has a straw hat in her right hand. Nurse Smith has a long visage; is wearing ear rings and her central parted dark hair is drawn back. Her right arm is extended holding the back of the chair on which Nurse Kennedy sits. melbourne district nursing society, mdns, mdns uniforms, mdns first 'head nurse', rdns, royal district nursing service, trained nurse kennedy, trained nurse lucy smith

This photograph depicts the Sister-in-charge with a group of Melbourne District Nursing Society (MDNS,) Trained nurses, 'Nurses", with their bicycles, which were the first mode of transport purchased by MDNS in 1903. The bicycles enabled their Nurses to visit more patients over a wider area. They are identified as: L-R back row: Trained Nurses Taylor, Steele, Francis, Young. L-R front row: Isobel Curnow, Annie Roberts, Isabel Hawkes (Sister in Charge), Becker. Their uniforms were a grey cotton dress with white collar, cuffs and belt and their was a red Maltese cross on their pith helmets. They gave nursing care to the poor in the inner Melbourne and close surrounding areas (districts). On the 17th of February 1885, just 50 years after Melbourne was founded, a preliminary meeting of ladies and gentlemen who were anxious to form a society to provide "skilled nursing" for the sick poor in their own homes was held in Mrs William McCulloch’s home at Spring Street, Melbourne. At this meeting it was decided “that the association would be called the Melbourne District Nursing Society”, the first Society of its kind in Australia, and “that the special object of the Society shall be to secure skilled nursing for the sick poor in their own homes”. On the 16th of March a Committee was formed to “arrange for engaging one "duly qualified nurse”. On the 1st of May 1885 a Nurse, Mrs. Ferguson, was employed at £100 per annum, and a second Nurse, Mrs. Joanne Cannon, commenced six months later. In that era the term ‘Nurse’ was used even though they were ‘qualified’ i.e. ‘trained’ nurses. They worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality Trained nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness, fresh air and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed, as well as providing wood and coal in the winter. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. Trained midwives began home births in late 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. As the work increased a third Trained 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. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. In 1913 a Nurse had her Board and residence, uniforms, bicycles and laundry expensive provided and was paid £50 a year for her first six months. At the end of a year her salary is increased by £5, and later she earns £60 a year. Over the years the nurses complained that their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. Sepia photograph of eight Melbourne District Nursing Society Trained nurses posing with their bicycles in a park; some are partly hidden. Nurse's uniforms consist of long grey dresses with white belts, cuffs and collars and white pith helmets with a Maltese cross in the centre. Oblong leather nursing bags of varying sizes are strapped to five of the bicycles. In the centre is Sister-in-charge – Mrs Hawkes (in white); to her left are 4 Nurses and to her right 3. L-R – Front row – Trained Nurses Curnow, Roberts, (Hawkes) and Becker. Back row – Nurses Taylor, Steele, Francis and Young. Trees and a palm are in the background. The bicycles have two large wire spoked wheels at either end of the black V shape bicycle frame; a rubber tyre runs around the outside of each wheel. The metal handlebars are a horizontal configuration and are attached with a central column into a black vertical column at the front of the V shape bicycle frame which has ‘fork shaped’ thin metal pierces running down either side of the wheel attaching the frame to the central hub of the wheel. The rear wheel is attached the same way to a central column at the rear of the frame which runs up to V shape solid seat. At the bottom of the V of the frame a pedal is attached with a rotating arm on either side of the bicycle and on the right side the rotating arm is attached to a sprocket which has a chain running around it back to a smaller sprocket on the hub of the back wheel. The chain has a thin metal guard over it. There are narrow thin metal mud guards running a short distance above the top of each wheel. melbourne district nursing society (1885-1957), bicycles, nurses, uniforms, mdns, mdns transport, rdns, royal district nursing service, trained nurse annie roberts, sister-in-charge isabel hawkes, trained nurse taylor, trained nurse steele, trained nurse francis, trained nurse young, trained nurse becker, trained nurse isobel curnow

This Certificate was presented to Trained nurse, known as 'Nurse' in those days, Nettie Osborne on completion of six months employment with Melbourne District Nursing Society (MDNS). This is the only example of a MDNS Nurses certificate in the RDNS collection. In 1913 the MDNS Nurses had their board and residence, uniforms, bicycles and laundry expenses provided. Newly employed Nurses were paid £50 a year for her first six months. At the end of a year her salary was increased by £5, and later she earned £60 a year. .Following the founding of the Melbourne District Nursing Society (MDNS) in February 1885 to care for the sick poor in Melbourne, subsequent meetings were held to form a Committee and to draw up a Code of Rules of the Society. It was decided that only nurses who had attended a Hospital Nurses Training School and were fully qualified would be employed by the Society. After interviewing several candidates, it was on the first of May 1885 when the first Trained nurse, known as 'Nurse' in those days, Mrs. Ferguson, was employed by MDNS with a salary of £100 per annum. 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 agreed to assist the Nurse with advice at any time. In rotation, a member of the Superintendence Sub-Committee supervised the Nurse’s visits and could assist to alleviate some poor social conditions they found. A second Nurse, Mrs. Joanna Cannon was employed by MDNS six months later, with a trial period of six months which was extended. They were the stalwarts of the Society in the early years, Nurse Cannon remaining with the Society for four years and Nurse Ferguson for five years, though both had a short break due to illness through the heaviness of the work. Nurses salaries were reduced to account for the cost of uniforms, and then when establishments were rented by the Society and the Nurses could now live in the Nurses Home. The Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They liaised with Doctors and provided high quality trained nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness, fresh air and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. They provided nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, 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. 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 Trained Midwife was employed in August 1893. The work was arduous, particularly in the heat of summer. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used; straw hats were worn in summer. Over the years the Nurses complained that their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. Public transport was also used over the years, in conjunction with a Motor Auxiliary from 1929 to 1971. MDNS began with its own small fleet of vehicles in the early 1950s which gradually expanded into a full fleet.The coloured Certificate is made of white paper attached to a buff card forming a boarder. It is in gold print on the white background which has a thin gold border. In large bold script are the words "Melbourne District Nursing Society" In between the words "District" and "Nursing" is a red Maltese cross which extends above and below the writing. Underneath this, in smaller capital letters, are the words "For Nursing Sick Poor In Their Own Homes"/. Below this in bold script are the words "This is to Certify that"/. Under this, written in black handwriting, is "Nurse Nettie Osborne"/; below this in script is "has acted in the capacity of District Nurse", then in black handwriting the words "Six Months"/. The next two lines read "having fulfilled her Duties to the satisfaction of her Committee, /"and appreciation of her Patients". The Certificate is signed in black by Mary Leeper, Vice President; Kate Hood; Hon. Treasurer; C.M. Tatham Hon. Secretary, and has Date; 8th July 1913 in black handwriting. On paper attached with tape to the back of the Certificate, is a copy of a photograph of two unidentified people. [Possibly Nettie and her husband]. Some small marks, and in one area a small area of cracking is seen on the white background of the certificate.certificates, mdns, melbourne district nursing society, rdns, royal district nursing service, nurse nettie osborne

The photograph is taken in Mr. Spartel's home in St. Kilda. The MDNS uniform worn under her white gown was a dark grey cotton frock with a belt. The grey stiffened and brimmed felt hat had a light grey hatband with a red Maltese cross attached in the centre. Sister J. Faust is about to redress a wound on Mr. Spartel's abdomen. The photograph is a record of wound care being given by MDNS trained nurses in a patients home during the 1950s. This photograph appeared along with an article in The Sun newspaper Oct 17 1952.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. 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 programs, such as the Wound Specialist program, and 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. When RDNS introduced Wound Care Specialists they carried out assessments and provided advice and support to the District Sisters working in the field. On the left of the black and white photograph is Mr. George Spartel, who has dark short curly hair and is lying on his bed. His shoulders and head are resting on the white pillow with his head against the wooden slatted backrest of his bed. His torso is bare and part of a white wound dressing can be seen on his upper abdominal area. A dark grey covering is over the lower portion of his body. He is smiling and looking up at Sister J. Faust from Melbourne District Nursing Society (MDNS) who is standing to the right of his bed.Sister Faust, who has dark curled hair, has her arms raised behind her neck as she reaches the ties on the white gown she is wearing over her uniform. She is wearing her grey brimmed uniform hat. Behind her is a wooden table, with a dark coloured radio on its right, and a jug with a doily over it, on the right.mdns, melbourne district nursing society (1885-1957), nurses, mdns uniforms, rdns, royal district nursing service, rdns wound care, mr george spartel, sister j. faust

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

Matron Freeman and the MDNS Trained Nurses are wearing long grey coats and white pith helmets, which display a red Maltese cross.The Pith helmets are held on with a white veil. The two Bicycles with nursing bags attached to handlebars show the transport used by MDNS at that time.. Nurses - Back - L-R - O'Sullivan, Deans, Warren, Amess, Pat Lee and Jane with bicycle Front - L-R - Blanche Wilson, Matron Janie Freeman, Peake and Brown. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded with one Trained nurse (Nurse), and a second employed six months later. This was the first such service in Australia. They worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron. They loaned equipment, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing clean bed linen and nightdresses as necessary. Trained Midwives began home births in August 1893 taking midwifery bundles and providing clothes for the babe as needed. This was arduous work, particularly in the heat of summer. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. In 1913 a Nurse had her Board and residence, uniforms, bicycles and laundry expensive provided and was paid £50 a year for her first six months. At the end of a year her salary is increased by £5, and later she earned £60 a year. Over the years the Nurses complained their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. 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.Sepia photograph on brown card mount with 'Kirk Studio' on bottom right of the card. The photograph shows Matron Freeman and nine Melbourne District Nursing Society (MDNS) Trained nurses, (Nurses), with bicycles. The back row of six Nurses are standing and the Nurses either end are holding bicycles which have leather oblong nursing bags attached to the handlebars with two straps. The front row are seated. All are wearing the MDNS uniform of long dark coats and white helmets, with white scarves covering them and tied under their chins. A Maltese cross can be seen in the centre of the helmets. Both bicycles have two large wire spoked wheels at either end of the black V shape bicycle frame; a rubber tyre runs around the outside of each wheel. The metal handlebars are a horizontal configuration and are attached with a central column into a black vertical column at the front of the V shape bicycle frame which has 'fork shaped' thin metal pierces running down either side of the wheel attaching the frame to the central hub of the wheel. The rear wheel is attached the same way to a central column at the rear of the frame which runs up to V shape solid seat. At the bottom of the V of the frame a pedal is attached with a rotating arm on either side of the bicycle and on the right side the rotating arm is attached to a sprocket which has a chain running around it back to a smaller sprocket on the hub of the back wheel. The chain has a thin metal guard over it. There are narrow thin metal mud guards running a short distance above the top of each wheel.Photographer's embossed stampmdns, melbourne district nursing society, mdns uniforms, mdns transport, mdns matron, rdns, royal district nursing service, nurse blanche wilson, nurse pat lee, nurse deans, nurse o'sullivan, nurse warren, nurse amess, nurse peak, nurse brown, matron janie freeman

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

A public appeal was made to raise funds for Melbourne District Nursing Society (MDNS) so motor cars could be purchased to assist their Trained nurses, known as 'Nurse' in those days, with their visits during the Spanish Influenza epidemic of 1919. With donations from businesses and individuals four cars were available within a month, and this photograph shows two of them In 1919 parked outside 'Floraston', 39 Victoria Parade, Collingwood, which was the first MDNS Headquarters and Nursing Home purchased by the Society. The MDNS uniform was a grey cotton frock with white collar, a grey coat with lapels, and a grey brimmed hat with a red Maltese cross in the centre of the hatband. From its founding in 1885 until 1891 the Trained nurses, known as 'Nurse' in those days, 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 to for e.g. 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 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. 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, running from 41-47 Victoria Parade (became No. 45); the District nurses continued to live at No. 39. District Nursing has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), the Nurses walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford 'T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state they were sold in 1927. A Motor Auxiliary was formed in 1929 to take Trained nurses, now called 'Sisters' to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled until MDNS and, having received Royal patronage, the now named Royal District Nursing Service (RDNS) had its own full fleet of vehicles.Sepia photograph on grey mounting board depicting four Melbourne District Nursing Society (MDNS) Trained nurses (Nurses) sitting in two motor vehicles in front of Melbourne District Nursing Society Headquarters and Nurses Home. In the foreground are the two Ford Model T vehicles with their soft hoods open. Each car has four spoked wheels. A frame where a spare wheel is attached can be seen attached to the rear car's running board. A spare wheel, with white tyre, can be seen standing up resting against the middle of the front car; the lower section of the tyre is sitting on the running board. The steering wheel can be seen on the right hand side of both cars with a Nurse sitting behind it with her hands resting on the wheel. The upper part seen of the two MDNS Nurses in each car shows they are wearing grey uniform coats over their frocks, the white collars of which can be seen. They are all looking at the camera, and are wearing grey hats with a central Maltese cross on the white hatband. Behind the cars the footpath and the metal spiked fence, with a square concrete columns at either end can be seen. '39' is near the top of the left hand column and a white oblong name plate is attached to the fence. On the far right of the photograph a wooden gate runs from the column. A dark name plate is attached with the words 'Patient Entrance' / - 'Melbourne District Nursing Society -/ For Nursing the Sick Poor'. Behind this are a row of shrubs forming a hedge and behind this the two storey terrace building with its three arched arcade veranda on the ground floor and three long widows on the top floor with a veranda with a metal scrolled safety rail. The building has a flat roof with a central raised section with 'Floraston', written in capital letters on it. XJ. 13. is written in black ink on the bottom right corner of the photographPhotographer's stamp on mounting boardmelbourne district nursing society, mdns, transport, nurses home, rdns, royal district nursing service

This digital image appeared in the MDNS 1937 Annual Report and depicts one of the aspects of nursing care carried out by the District Sisters of the Melbourne District Nursing Society (MDNS) in a home in the suburbs of Melbourne.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. 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 instructed RDNS 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 digital image is a little girl who is sitting on the top step of a wooden stool which is against a light coloured wall. The little girl has short dark straight hair; is wearing a dark jumper and skirt and is holding a light coloured bandage in her right hand. Her long grey socks are pushed down and she is wearing black sandals. Her right leg is bent and her foot is resting on the lower step. Her left leg is extended and she is looking down at a Melbourne District Nursing Society (MDNS) Sister who is on her right, as she is swabbing a wound on the girls left knee. The Sister is wearing her uniform dark cardigan over her grey dress which has a white collar, and her grey brimmed hat, with central Maltese cross on the hatband, is worn over her short hair. She is looking down at the child's wound and in her right hand she has a pair of forceps holding a white swab against the wound on the girl's knee. Her left hand is under, and supporting, the girl's knee.mdns uniform, melbourne district nursing society, rdns, royal district nursing service, mdns wound care

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

The Sister-in-Charge, Florence Lee-Archer, and a Trained nurse (Nurse) are about to leave the Melbourne District Nursing Society (MDNS) Nurses Home at No. 5 Royal Terrace, Nicholson Street, Fitzroy to visit patients. The MDNS moved into these larger premises at No. 5 Royal Terrace, Nicholson Street, Fitzroy in May 1904. This establishment was their Headquarters as well as the Nurses Home. Sister-in-Charge Florence Lee-Archer and five Trained nurses, known as 'Nurse' in those days, were employed by MDNS at that time to visit and give nursing care to the poor in their own homes. In 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded in February 1885 with one Trained nurse, called 'Nurse' in those days, and a second employed six months later, working in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care; educated their patients in the curing and prevention of disease and teaching the importance of cleanliness, fresh air and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. 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. Trained midwives began home births in August 1893 taking midwifery bundles and providing clothes for the babe as needed. The Nurses provided nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, 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. The Nurses were becoming exhausted, particularly in the heat of summer. Permission to use bicycles was given to them in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each, which included maintenance for one year. Bells and wooden frames were added at a cost of £5 per frame so the Nurses could carry extra equipment. Nurses bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week, and if patients could not arrange to have it collected, the soup was delivered by the Nurses on their bicycles. Their use caused a change in uniform, with white pith helmets, and veils covering them and tied under their chins, now being used and straw hats in summer. In 1904 the Society relocated to rented premises at 5 Royal Terrace, Nicholson Street in Fitzroy. In 1913 a nurse had her ‘board and residence, uniforms, bicycles and laundry expenses’ provided and was paid £50 a year for her first six months. At the end of a year her salary was increased by £5, and later she earned £60 a year. Over the years the Nurses complained their veils became wet in the rain and asked for a change of uniform, but this did not occur until 1921.Digital Image showing, on the right, Melbourne District Nursing Society (MDNS) Sister-in-Charge Florence Lee-Archer wearing a long white uniform and white cap with long white tail (veil) seen hanging from its rear. On her left, is a MDNS Trained nurse (Nurse) wearing a long grey uniform with white collar and cuffs, and wearing a pale colour straw hat with Maltese cross in the centre of the white hatband. The hat is held on by a veil over the hat and tied under her chin. They are standing by their bicycles, the front wheels and handlebars seen; the Nurse has a nursing bag attached to the handlebars of her bicycle. Behind them and to their right, a black sign with the words 'Melbourne District Nursing Society - For Nursing the Sick Poor in their Own Homes' written in white capital letters can be seen attached to the metal spiked fence. Behind this are some shrubs and part of a building in the rear.Melbourne District Nursing Society - For Nursing The Sick Poor In Their Own Homes.melbourne district nursing society, mdns, mdns headquarters, mdns matron, rdns, royal district nursing service, sister florence lee-archer

This digital image is taken at the home of a Melbourne District Nursing Society (MDNS) patient, and depicts a MDNS Sister attending to a lady who is lying in a wicker bed pram in the rear garden of her home. The wicker bed pram enabled the lady to enjoy fresh air and to be moved about easily. The image shows the MDNS uniform of a grey cotton frock with white collar, and a grey brimmed hat with a red Maltese cross in the centre of the hatband. In 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded in February 1885 with one Trained nurse, known as 'Nurse' in those days, and a second employed six months later,. 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. This image shows a Melbourne District Nursing Society (MDNS) Trained nurse (Sister) wearing a grey uniform with white collar, and a grey brimmed hat, which has a hatband with Maltese cross applied, standing behind and attending an elderly lady patient laying in a wicker bed pram outside her home. The Sister has her right hand resting on the pram and is looking down at the lady, and the lady, who has short grey hair, is smiling and looking toward the camera. Her body is covered with a floral cover. To the left, part of the horizontal weatherboards of a wooden house can be seen, and to the right and rear, a brick, tiled hip roof, building can be seen. The wicker bed pram has four spoked wheels and a metal frame that bends up to form a handle on its right hand side.melbourne district nursing society, mdns, mdns nurses, mdns patient care, mdns uniforms, rdns, royal district nursing service

This RDNS Liaison Sister is reassuring a lady who is being discharged from Mount Royal Rehabilitation Hospital regarding the visits she will receive from RDNS Sisters in her home. The Liaison Sister had previously visited the lady in the Ward to ascertain the care she would require at home and this information had been passed to the appropriate RDNS Centre and to the Sister who would be visiting the lady in her home. The RDNS Sister is wearing her RDNS winter uniform of a blue/grey skivvie under a blue/grey winter material herringbone V neck tunic style frock. She is wearing her blue/grey herringbone winter material hat.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. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District field staff and Doctors when patients were referred by General Practitioners and did not attend a Hospital. Rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by the RDNS Sisters.On the right of the black and white photograph is a Royal District Nursing Service (RDNS) Sister, who is wearing her uniform hat over her short curled hair, and a pale skivvie under a V neck tunic style grey dress. She is leaning forward with her left hand on the arm of a wheelchair, and is smiling at a lady, who has short curly hair; is wearing glasses and grey frock with a belt, and is sitting in wheelchair. She is holding the tops of walking sticks with both her hands; the foot of the sticks are resting on the ground. The footplates of the wheelchair are open and the lady has her feet on the ground. To her left stands a gentleman who has short dark hair and is wearing a buttoned up dark cardigan over a light coloured shirt, peaks showing, and light trousers. He is holding a 4 prong stick in his right hand and is looking at the lady. A Hospital Sister, who is wearing a dark cape over her white uniform and a white veil over her short dark curly hair is standing behind the wheelchair looking down at the lady. In the background, part of a brick wall can be seen on the left and to the right of this an open glass door and to its right is a closed glass door with writing on it.Barry Sutton Photographer's stamprdns, royal district nursing service, rdns uniform, rdns liaison, rdns rehabilitation

This photograph is a record of Matron Beatrice Williams with some of the Trained nurses (Sisters) who worked in the District division of Melbourne District Nursing Society After Care Home in 1933, just prior to Matron Williams resigning to be married. It was taken in front of the Nurses Home at 39 Victoria Parade, Collingwood and shows part of the District nursing uniform worn by the MDNS Sisters in the 1930s. At that time their uniform dresses, worn under their coats, were grey cotton and their brimmed hats were made of felt and had a red Maltese cross applied to the centre front of the hatband.Miss Beatrice Williams worked as a Trained Nurse (Sister) with the Melbourne District Nursing Society (MDNS) before going to England to gain her Midwifery certificate. After qualifying, she worked as a Tutor sister and a District Superintendent at the University College Hospital in London. On returning to Australia she was appointed, in April 1929, Matron of the District division of the MDNS After-Care Home (Hospital from 1934). She convinced the Committee of the need for Ante Natal care and in 1930 the Ante Natal Clinic was opened at the After-Care. She continued as Matron until 1933 when she married Dr. J.P Major, and was invited to join the Committee of Management. In the early 1950s when the Government requested the Society separate and it take over the After Care Hospital, she became President of the now named Melbourne District Nursing Service with its Headquarters and Nursing Home moving to 452 St. Kilda Road, Melbourne. Beatrice had an understanding of the poor, the sick and the aged, and was known for her kindness and sympathy. Her foresight, leadership and enthusiasm brought forth the expansion of District nursing. She died on the 15th of August 1958. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, 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 Matron, Miss Beatrice Williams, wearing a white uniform and veil over her short dark hair, and a group of thirteen Melbourne District Nursing Society Trained nurses (Sisters) outside the front of their Nurses Home. The Sisters are wearing grey coats over their grey uniforms and grey brimmed hats with a Maltese cross applied to the white headband. Matron is sitting in the centre of six Sisters and there are seven Sisters standing behind them on the veranda; a round column is seen to the right between the 4th and 5th Sisters. Part of the grey building behind shows an open door to the left and a long window to the right. A scrolled metal safety rail, running from the round column, is seen in front of the three nurses on the right. The seated Sisters and Matron have their legs crossed at the ankles, melbourne district nursing society, mdns nurses, mdns, rdns, royal district nursing service, mdns uniforms, matron beatrice mary williams

This photograph is taken in the home of the lady and shows MDNS Sister J. Faust giving an injection, using a glass syringe, into the right upper arm of the lady. This type of syringe was re sterilized. These syringes remained in use until the mid 1960s when disposable plastic syringes took their place. This photograph was used in a video on the history of RDNS which is held by the organization. It is a record of the type of care given by Melbourne District Nursing Society (MDNS) Trained nurses in a patient's home.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, 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 Melbourne District Nursing Society (MDNS), Sister J. Faust who is wearing her grey brimmed uniform hat over her dark curled hair and is wearing a white gown over her grey uniform which is seen below her gown. In her right hand, she is holding a syringe, with needle against the lady's skin, and her left hand is on the upper right arm of the lady above the needle site. The lady, who has light coloured curled hair and is wearing a dark coloured long frock, is standing to the right of the Sister and is holding the right sleeve of her dress up with her left hand. A metal sink with cupboards below is behind the lady. To the left is fireplace which is now tiled at the rear and has a gas stove with kettle on a jet in the space. A row of three pale coloured kitchen canisters in decreasing size sit on the mantle piece. On a shelf above these sit a dark coloured box and a tall thin vase. Staff members name is written on the back of the photograph.melbourne district nursing society, nursing care, royal district nursing service, rdns, mdns, nursing care - medications, mdns uniforms, j. faust

Sister J. Faust has dressed a wound on the ladies ankle and is applying a blue-line bandage. The photograph is taken in the lady's home. The MDNS uniform at that time was a grey frock, and stiffened brimmed grey felt hat with a light grey band and a red Maltese cross in the centre of the band. 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. 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 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 a Wound Care Specialist program and these Sisters did assessments and provided advice and support to the District Sisters working in the field. Black and white photograph of Melbourne District Nursing Society (MDNS) visiting Sister J. Faust, who is wearing a white gown and a grey brimmed hat over her dark curled hair. Part of her grey uniform frock is seen below the gown. She is applying a light coloured bandage to the right ankle of an elderly female patient. The lady, who has dark curled hair, and is wearing a grey frock, apron, and black cardigan is seen seated side on, on a wooden chair to the right of the Sister. She has her right leg extended and resting on a small low table, her left leg is bent to the floor.. The Sisters open case is seen on a small table to the rear of the lady and a walking stick is to the left against the door frame. A dark curtain hangs in the doorway. A large white wash bowl is seen in the lower left of the photograph. A glass jar with scissor blades into a liquid can be seen on a cabinet to the left of.Sister Faust. To the right of the photograph a partial white covered bed can be seen with a table over it with papers and a magnifying glass. Name of Sister on rear of photograph.wound care, melbourne district nursing society, royal district nursing service, rdns, mdns, sister j. faust

The photograph is taken in the Physiotherapy Department at Mount Royal Hospital. RDNS Sr. Sue Revill is from RDNS Moorabbin Centre and Sr. Helen Watt is from Footscray Centre, They are attending an Education session on Rehabilitation at Mount Royal. Hospital. They are wearing the RDNS winter uniform of a blue/grey skivvie under a V neck tunic style herringbone winter material dress with the RDNS insignia emblazoned on its upper left.Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses (Nurses) who trained through the Hospital training system were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sister Pat (Paddy) Rowley was a leader in this In-service Education and established the MDNS, later called RDNS, Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and district nursing systems. Many programs were run at RDNS, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home, and to Mount Royal Hospital to observe the care of clients in the Rehabilitation ward. A Community Nursing Education Program was extended to Student nurses from Hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin did a Post Basic Course in Psychiatric Nursing and included this area in her education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Registered Nurses. Black and white photograph depicting, on the left, a side-on view of a Hospital Physiotherapist with her long hair drawn back in a pony tail, and wearing a grey V neck dress over a white blouse and a dark cardigan who is facing right. She has her left hand on the arm of a standing lady and her right hand on the lady's hand which is on a walking rail. To the right rear of the Physiotherapist is Royal District Nursing Service (RDNS) Sister Sue Revill who has shoulder length dark hair and is looking at the lady. To her right the elderly lady who is wearing glasses; has wavy white hair and is wearing a light grey frock, is standing in front of a wheelchair with her right hand on the walking rail. Her left arm hangs loosely by her side. To her right is a walking rail and standing to its right is Sr. Helen Watt who is looking towards the lady. She has short dark wavy hair, and has her right arm around the back of the lady and her left hand is on the walking rail. In the background of the photograph, the lower section of several 4 prong walking stick are seen hanging on the wall. Barry Sutton photographer's stamp. Quote KY 78rdns, royal district nursing service, rdns uniform, rdns education, sister sue revill, sister helen watt

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

This photograph shows Melbourne District Nursing Society (MDNS) Trained Nurses (known as 'Nurse' in those days) attending to a family in the early 1900s. It also shows their uniform which had a red Maltese cross in the centre of the pith helmet. The bicycle seen is the first mode of transport purchased by MDNS in 1903. The Nurse's bag is seen strapped to the handles of the bicycle. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS), the first District Nursing Society in Australia, was founded and the decision was made to only employ fully qualified nurses who had trained in a Hospital. In those days they were known as 'Nurse'. One Trained nurse, was employed in March, and a second employed six months later. They worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care and only attended patients seen by a Doctor. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness, ventilation and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. Trained midwives began home births in late 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. This was arduous work, particularly in the heat of summer. Permission to use bicycles was given to the Nurses in 1898 and the Society decided to purchase their own in 1903. A business man offered ‘new free wheel’ bicycles at £13 each which included maintenance for one year. Bells and wooden frames were added, at a cost of £5 per frame, so the Nurses could carry extra equipment. Nurses’ bags were strapped to the handlebars. Soup was made for those in need 2-3 times a week and if patients could not arrange to have it collected the soup was delivered by the Nurses on their bicycles. The use of bicycles caused a change in uniform, with white pith helmets, and veils covering them and tied under their chin, now being used. Over the years the Nurses complained their veils became wet in the rain and asked for a change of uniform but this did not occur until 1921. Bicycles continued to be used in inner areas until 1945. The Nurses provided high quality nursing care to a range of people often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. The Nurses liaised with the person's Doctor. They educated their patients, and their Carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and cooked soup when needed. As the work increased a third Nurse was employed but this was arduous work, particularly in the heat of summer and many Nurses only remained with the Society for several months. Black and white photograph of two Melbourne District Nursing Society (MDNS) Trained nurses, 'Nurse', wearing their full length grey uniforms, with white collar, cuffs and belt, and white pith helmets with a Maltese cross applied. One Nurse is standing and holding her bicycle, while the other is kneeling and holding a small child. They are in the garden behind a horizontal weatherboard house. A man dressed in dark clothes is also kneeling beside the child. There is a child, dressed in white, in the doorway of the home, and a lady, dressed in a full length black dress and a white apron, is standing in front of the wooden fence in the garden. The bicycle has two large wire spoked wheels at either end of the black V shape bicycle frame; a rubber tyre runs around the outside of each wheel. The metal handlebars are a horizontal configuration and are attached with a central column into a black vertical column at the front of the V shape bicycle frame which has ‘fork shaped’ thin metal pierces running down either side of the wheel attaching the frame to the central hub of the wheel. The rear wheel is attached the same way to a central column at the rear of the frame which runs up to V shape solid seat. At the bottom of the V of the frame a pedal is attached with a rotating arm on either side of the bicycle and on the right side the rotating arm is attached to a sprocket which has a chain running around it back to a smaller sprocket on the hub of the back wheel. The chain has a thin metal guard over it. There are narrow thin metal mud guards running a short distance above the top of each wheel.melbourne district nursing society, mdns, mdns uniforms, mdns transport, rdns, royal district nursing service

This photograph shows a Melbourne District Nursing Society (MDNS) Trained nurse, 'Nurse' in the 1890s who is giving care to a patient who has collapsed in the street. It depicts the type of conditions the Nurses faced in that era and the uniform she wore It shows the help the Nurses received from the Police in that era and also the style of uniform worn by the police. In 1885 it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded in February of that year, the first District Nursing Society in Australia, and it was decided only Nurses who had attended a Hospital Nurses Training School and were fully qualified would be employed by the Society. In those days even though they were trained they were called 'Nurse'. The Society began with one Nurse, and a second employed six months later, working in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. They provided nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered by a Doctor, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their Carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and cooked soup when needed. As the work increased a third Nurse was employed but this was arduous work, particularly in the heat of summer and many Nurses only remained with the Society for several months. Black and white photograph of a Melbourne District Nursing Society (MDNS) Trained nurse, known as 'Nurse' in those days, wearing a white apron over her full length grey uniform with white collar seen; she is wearing a white cap. She is sitting on a step at the front of a weatherboard house attending to a man, who is dressed in dark clothing and is wearing a brimmed hat. He is lying on his side on the pavement with his head close to the Nurse and his face turned towards the road . A policeman, wearing his dark uniform and helmet, is kneeling beside the man. mdns, melbourne district nursing society, mdns uniforms, rdns, royal district nursing service, nursing care

This is a photograph taken from the painting by McCubbin of Lady Janet Clarke, a prominent Melbourne philanthropist who worked for social welfare issues and was a driving force in the early days of the Melbourne District Nursing Society. At the end of 1885 for her work with MDNS she was given a Testimonial Dinner where she was presented with a letter signed by 429 people expressing their thanks for her visits, kindness, sympathy and charity shown toward the sick poor. In 1887, at her home, she held the first function to raise money for the Society. Lady Janet Clarke was a generous and hospitable prominent socialite of Melbourne; a kind and sympathetic philanthropist who worked tirelessly for social welfare issues. The Melbourne District Nursing Society (MDNS) was founded on the 17th of February 1885 and on the 9th of April a Special General Meeting was held to elect the committee for the following twelve months. Lady Clarke was elected a Vice-president; a position she held until being appointed President, when Mrs. Simon resigned on the 7th of June 1887, a role Lady Clarke held until she became ill in 1908; except during her trips overseas, when the role was held by another until her return. Her management and organizational skills enabled MDNS to flourish in its earliest days. She was actively involved taking her turn on the Superintendent sub-committee where she accompanied a Trained nurse when she visited patients; checking that high quality nursing care was maintained, as well as observing the patient's social condition; even giving a personal donation to a special case in need. The patients of the Society were so grateful for her sympathy, kindness and love that when she and her husband, Sir William Clarke, were going overseas at the end of 1885, a Testimonial was given for her at Scots Church District-hall where 200 attended to show their appreciation of her work carried out with MDNS. She was presented with a Bible from them, and their letter signed by 429 working persons expressing their thanks. In a time of great financial need of the Society, Lady Clarke offered the ballroom at her home, 'Cliveden', for a monster Cake, Flower, and Dairy produce Fair which raised a substantial amount saving the Society from closure. She promoted the Society and led it in further fund-raising events, such as the annual Ball, and Fairs where she often manned cake stalls. Near Christmas each year she made a special appeal to the public for 'comfort and good cheer' which could be given to poor families visited by the Society. During the depression of 1890 she had thick soup prepared in the Cliveden kitchens and this was distributed, with bread, from her home, and from a school room, to hundreds of the poor. In 1892 Lady Clarke agreed to represent the Society during her visit to England. During her years of leadership MDNS expanded; Nurses uniforms were introduced; lectures - for example, on hygiene and on the prevention of sickness and the treatment of children, were given by doctors for the patients; further Trained nursing staff were employed; Midwifery was introduced to the poor, the Society extended beyond the city centre and bicycles were introduced for transport; a system for regular annual subscriptions was introduced and sufficient funds were raised for the Society to rent its own premises, with Lady Clarke paying for a subscription to Mullen's bookstore each year for the use of the Nurses in the Nurses Home. As well as her work for MDNS she held roles in many other organizations . She donated a substantial amount of money to build a Hostel for Women University Students attending Trinity College, later named the Janet Clarke Hall. Lady Janet Marion Clarke died at Cliveden, aged 57 years, on the 28th of April 1909; a lady held in high esteem and affection by all she knew.This is a black and white photograph of a painting of Lady Janet Clarke. She is looking forward and has a serious visage; she is wearing her long dark hair drawn up and back and in her left ear a small dropped ear ring can be seen. She is wearing a light coloured, long sleeved, floral frock with a material short cape section seen over the top of her left sleeve. Her left arm is crooked with her hand resting just under a flower brooch fastened in the centre of her frock. She has a choker around her neck with a brooch in the centre..Janet Lady Clarke, president 1889-1908.From the painting by McCubbin.melbourne district nursing society, mdns, rdns, royal district nursing service, lady janet clarke

Melbourne District Nursing Society (MDNS) moved into 452 St. Kilda Road, in 1953. Seven Ford Prefect cars were purchased by the Society in the early 1950s which became the beginning of a full MDNS, later called Royal District Nursing Service, fleet of cars which would be used by their District nurses to visit patients in the community over the next years.In 1875 J.B.Scott purchased Crown Land on the corner of St Kilda Road and Arthur Street. During the 1890’s an “unpretentious grey building” was built on the site. Known as ‘Airlie’, major additions were carried out during the 1920s and 30s to this historic mansion. From its founding in 1885 until 1891 the Trained nurse (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 Trained nurses (Nurses) and one pupil nurse as well as being used as their Headquarters. The Nurses left from there 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 nurses, 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. 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 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. 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 to No. 39, running from 41-47 Victoria Parade (became No. 45); the District Trained nurses (Sisters) continued to live at No. 39. In 1953 ‘Airlie’ at 452 St Kilda Road was offered by the Government as part of an agreement to split the management of the Society and the After Care Hospital. On 26th November 1953 the MDNS moved its Headquarters to 452 St Kilda Road. Renovations and alterations were however restricted by limited funds so it was not until 1/12/1954 that the Hon. W. P. Barry, Minister of Health, officially opened the building. MDNS was given Royal patronage in 1966 and became Royal District Nursing Service (RDNS). In January 1983, Headquarters of the Royal District Nursing Service at 452 St Kilda Road was classified by the National Trust. The citation in support of the classification said “The house is of historical interest as the boyhood home of Stanley Melbourne Bruce, later Lord Bruce, Prime Minister of Australia from 1923-1929.” Black and white photograph of Melbourne District Nursing Society Headquarters, 452 St Kilda Road, Melbourne. The photo, taken on the corner of Arthur street, is of a two storey building and several cars and gives a unique view of St Kilda Road in the 1950s (pre high rise buildings) This large grey two storey Italian style building, has four roman column, arched Arcadia to the right of a polygon shaped bay window on the ground floor; an arched Arcade on the second floor, and three long windows above the bay window on Arthur Street. Turning the corner onto St. Kilda Road is a three arched Arcadia running towards the one window seen on the polygon shaped bay window. Arcadia is repeated on the upper storey. A balustrade is in front of the Arcadia on the upper storey and again around the flat roof. Two chimneys can be seen. A spiked metal fence runs in front of the building. To the left of this building are two white double storey buildings and some medium sized trees. On Arthur Street, two Ford Prefect cars, one with the passenger side door partly open, a Vanguard car and another make of car can be seen.royal district nursing service, headquarters, 452 st kilda road melbourne, melbourne district nursing society, mdns, mdns transport, rdns

Auric syringes were carried by the Melbourne District Nursing Society Trained nurses, (Sisters), in their equipment bags.Used for syringing ears this model was used during the 1950s . The Sisters of the Melbourne District Nursing Society used equipment to administer care, as directed by a Doctor, to patients in their own homes.The Auric Syringe has a glass graded barrel surrounded by a metal casing, and has a metal plunger and a metal cone shaped aural attachment narrowing at the end. The syringe is sitting on a cotton protective bag.royal district nursing service, rdns, rdns equipment, mdns, melbourne district nursing society

This is style of nursing case and type of equipment used by the Sisters of the Royal District Nursing Service (RDNS) in the 1970s. The Sisters worked throughout the Melbourne inner and outer suburbs visiting patients to administer nursing care in their homes and other arranged venues. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, 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 as necessary.Black deep case made of man made material. it has a raised lid with attached handle. The metal section between the lid and body of the case has metal clasps attached to it which open and close within this section. The deep section contains a cotton bag sewn in sections which contain artery forceps, dissecting forceps, scissors, thermometer, wooden spatula. Shown are a packet of Band-Aids, plastic bottle containing chlorhexidine, jar containing soft-soap and jar containing Saf-sol which were carried within the body of the case.rdns, royal district nursing service, rdns equipment, melbourne district nursing society

Matron F. L. Gordon and the Sisters are standing in front of the Melbourne District Nursing Society (MDNS) Nurses Home at 39 Victoria Parade, Collingwood. The Nurses lived in this residence from 1914-1953. In 1926 the After-Care Home was built next door. This image was taken twelve months after the name of the Society changed from 'Melbourne District Nursing Society After Care 'Home' to 'Hospital'. The photograph shows the uniform of the District Division of the Melbourne District Nursing Society in the 1930s, with the uniform dress made of grey cotton. Their brimmed hat was made of felt with a cotton hat band with a red Maltese cross in the centre front. From its founding in 1885 until 1891 the Trained nurses, called 'Nurse' in those days, 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, in 1894, 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. 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 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 became 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, running from 41-47 Victoria Parade (became No. 45); the District Sisters 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, with a change of name to Melbourne District Nursing Service in 1957. With Royal patronage, this changed to Royal District Nursing Service (RDNS) in 1966. As District expanded, and now with outlying districts to service and with a full fleet of District cars, Sisters lived in their own homes and visited their District Centre each morning to collect their work for the day and returned there at the end of their days work in the community to carry out their administrative work. The digital image shows Matron, Miss F.L. Gordon, wearing a white uniform and veil and a dark coloured cape standing amid a group of eleven District Trained nurses (Sisters), from the Melbourne District Nursing Society (MDNS). Two Sisters are to her left and the others to her right. They are standing in front of a grey building. The Sisters are wearing their uniforms of grey long coats with lapels; the coat is secured with a belt around the waist. This is worn over their grey uniforms, with white collars. Each Sister is wearing their uniform grey brimmed hat with a Maltese cross attached to the light hatband, and are carrying a square shaped nursing case. They are standing in two rows, with some on the veranda of the building and some in front on the path; two Sisters are just off the path amid the shrubs. Part of the grey concrete building can be seen behind the Sisters with the open door to the left and part of three long windows seen to its right. One Sister has her lower left arm resting on the veranda rail.'Miss F.L. Gordon, Matron, and some of the District Sisters'mdns, melbourne district nursing society, 39 victoria parade, collingwood, rdns, royal district nursing service, nurses home, miss f.l. gordon, mdns uniforms, mdns matron

This photograph is taken in the home of the Mother and babe and shows a RDNS Sister who is visiting to give the mother and babe Post-natal care. Royal District Nursing Service (RDNS) had a Domiciliary Infant and Maternal Care (DIMC) service which gave Post-natal care to new born mothers and babes in their homes following their early discharge from hospital, or if required for other reasons. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor at the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in DIMC also had their Infant Welfare Certificate, though Midwifery trained nurses also visited. Black and white photograph showing, to the left, a Royal District Nursing (RDNS) Domiciliary Postnatal Sister, with long hair drawn up, and wearing a white gown. She is attending to a new born baby in her wicker bassinet at the baby's home. The Sister is smiling and has her left hand by the shoulder of the wrapped babe, and her right hand is resting lower on the baby. The baby's mother, who has curly short dark hair, is dressed in a floral blouse and dark cardigan. She is standing to the right of the Sister and behind the bassinet, and is looking down at her babe and smiling. Her left hand is resting on the bassinet. The baby has dark hair and has her hand partly covering her mouth. Part of a picture is seen on the wall behind the mother.rdns, royal district nursing service, rdns domiciliary post natal service, rdns domiciary infant and maternal care, rdns dimc

This photograph shows one of the aspects of nursing care carried out by the Royal District Nursing Service (RDNS). It shows wound care being given by a Sister to a patient in her own home. The bandage being applied is called a 'Blue line bandage'. which gives firm pressure to the ladies leg.The Trained 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. 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 programs, such as Wound Care Program and the Leg Ulcer Management Program, to provide their 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 Doctor. RDNS introduced Wound Care Specialists who did assessments and provided advice and support to the District Sisters working in the field. On the left of this black and white photograph is a Royal District Nursing Service (RDNS), Sister, with short dark hair and wearing a white gown, leaning over and bandaging the right leg of a lady. The bandage has a line around the centre. The lady is looking down at the bandaging; she is wearing glasses, and is wearing a dark padded dressing gown edged with white. The lady has her other leg bandaged and a dressing on her forehead. Her right arm is in a collar and cuff sling with her jacket covering most of her arm; the first finger of her left hand is bandaged. She is in her home and is sitting on a floral covered chair, with a white towel over its right arm. The lady has both legs elevated. mdns, melbourne district nursing society, rdns, royal district nursing service, rdns wound care

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

This photograph depicts one of the forms of nursing care given by Melbourne District Nursing Service (MDNS), Sisters in the home of a patient. In this photograph, the Sister is visiting the home of a lady who is confined to a Negative Pressured Ventilator, also known as an 'Iron Lung', which assists her to breathe. The Sister gave both physical and emotional care to the patient, as well as support and advice to those who were caring for her.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph showing a Melbourne District Nursing Service (MDNS) Sister, who has short dark hair; is wearing a white gown over her uniform and her grey peaked hat with attached RDNS badge. She is attending to a female patient who is lying in a Negative Pressure Ventilator in her home. The Sister is standing behind the Negative Pressure Ventilator, known as an 'Iron Lung', with her left arm extended holding the lid open. The lady is in the foreground, and is lying with her head towards the left of the photograph. She has short dark hair and lies on the bed of the Ventilator with a neck ring visible. Her head is resting on a white covered pillow. Part of a dark coloured pleated curtain can be seen in the right hand side background of the photographPhotographer's stamprdns, royal district nursing service, patient care, mdns, melbourne district nursing service, mdns nursing care - negative pressure ventilator, 'iron lung'