The photograph is taken in the RDNS Education Department at 448 St. Kilda Road, Melbourne. Mrs. Gerardi and Mr. J. Psaros are Telephone interpreters. Sr. E. Comb is learning, by role play, how best to communicate with people who have limited understanding of English. The other Sisters are observing the role play. One Sister is wearing the RDNS winter uniform of a dark blue cardigan over a light blue/grey skivvie and V neck tunic style frock made of blue/grey herringbone winter material. Sr. Perillo is wearing the RDNS summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock. The RDNS logo is seen on the upper left of the frock. The other uniforms are a royal blue dress with white piping around collars.The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. The RDNS Trained nurses (Sisters) visited patients from many different cultural backgrounds, and Education was given to their Sisters to assist them when speaking with the patients and giving them care. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.In the left foreground of this black and white photograph is a side-on view of Mrs. G, Gerardi, who is wearing glasses; has dark curly hair, and is wearing a black and grey vertically striped dress. She is sitting on a chair in front of a group of RDNS Sisters sitting at small rectangular tables which are butted together. Slightly to her left rear sits Mr. J. Psaros, who has short thick dark hair; is wearing a black leather type jacket, black trousers, white shirt and dark tie. He is looking at Mrs. Gerardi. To his left sits Sister (Sr.) E. Comb, who has short dark hair and is wearing a uniform dark cardigan over a dark dress with white piping on the collar. She is facing the group and looking at Mrs. Gerardi. In the centre of the photograph is the first of the seven RDNS Sisters at tables, five in the front, and two partly hidden in the row behind; they are also looking at Mrs. Gerardi. This Sister has curly dark hair and is wearing day clothes of dark slacks and a dark top, with white circle logo, over a white blouse the peaks of which are seen. The Sister. to her right has short straight dark hair and is wearing a dark cardigan over a light grey skivvie and V neck tunic style frock. The name on a card in front of her is indistinguishable, but 'Footscray' is seen. The next, Sr. Arrisa Perillo, has short curly dark hair and is wearing a short sleeve white blouse under a dark V neck tunic style dress. Her name and the word 'Footscray' is on a card in front of her. The next Sr. has short blonde curly hair and is wearing a dark cardigan over a dark dress with white piping around the peaks of the collar. The next the Sister is partly hidden. Her name is written on a card in front of her, this is indistinguishable except for the word 'Caulfield'. A large dark handbag with light colour motif on it, sits on the light colour carpet under the front section of Sr. Perillo's table. In the background are five windows with open Venetian blinds. Barry Sutton. Quote LJ60rdns education, royal district nursing service, rdns, telephone interpreters, mrs g. gerardi, mr j. psaros, sister e. comb, sister perillo

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

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

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

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

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

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

The equipment items in this photograph are loaned out to Royal District Nursing Service (RDNS) patient's to use in their homes. They are returned to RDNS and sterilized, or cleaned with disinfectant, whichever is appropriate, once they are no longer required. The material items are given to patient's as required. Many of these items are made and donated by RDNS Auxiliary members. From its inception in 1885, the two Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses and clothes as necessary. The Society was at the forefront of health care and continued to liaise with Doctors as the Society expanded. The Nurses provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their Carers, in the curing and prevention of disease; Over the years items were given and equipment was loaned and demonstrated to patients, and if appropriate, to their family members to enable them to care for their loved ones in their homes. The Trained nurses had the rehabilitation of their patients in the forefront of their minds to ensure they were able to live as independently as possible in their own homes. As the years passed the Trained nurses changed from being called 'Nurse' to 'Sister' and the Society changed its name. In the 1970s, now with Royal patronage, and known as Royal District Nursing Service ( RDNS), they contracted a Private and then employed, a Physiotherapist who taught RDNS Sisters the correct transferring techniques, including the use of a hoist when this became available. RDNS Sisters taught and used these techniques in patient’s homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members. Each RDNS Centre had a room or shed where equipment for loan was kept, and Headquarters also kept additional equipment which could be transported to Centres as required. This black and white photograph shows some of the equipment loaned, along with some to be given, to Royal District Nursing Service (RDNS) patients as required. Rear L-R - a white long nightdress with dark embroidery and buttons on the front and embroidery on the edge of the short sleeves. Next are two wooden bath seats; a square metal commode with lid and with its round legs extended to form handles on the left and right sides. A folded dark and white striped crocheted rug hangs over one of the handles. In the centre L-R, is a metal bed cradle, a metal 4 prong walking stick, bed pans, male urinal, stack of nappies with a white child's knitted jumper hanging over them, and a doona. In the front, L-R is a grey blanket, dark coloured bed socks, a sheepskin with a white smocked baby dress sitting on it, and a white babies nightgown on a clear plastic covered white bundle. A black mat sits under these items and a cream brick wall is in the background. Barry Sutton LS 47royal district nursing service, rdns, rdns equipment, rdns auxiliaries

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

Sister Snyders is based at RDNS Essendon Centre. She is a trained midwife working in the RDNS Domiciliary Infant and Maternal Care (DIMC), section and is attending a recently born baby in her home to give Post-Natal care. Often mothers and babes came home early from hospital, many after 24 hours of birth, and RDNS Sisters attended for several days to check babies progress, including - colour, feeding regime, weight, take a PKU test and give any advise needed to the mother. They also gave Post-Natal care to the mother. 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. MDNS established Melbourne's first Family Planning Clinic in 1934. 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 carried out DIMC visits also had their Triple i.e. Infant and Child Welfare Certificate, though Midwifery trained nurses also made visits. This black and white photograph shows a close up view of Sister (Sr.) Mary-Ann Snyders from Royal District Nursing Service (RDNS), who is standing and cradling a recently born baby in the crook of her left arm; her supporting arm extends along the babe and her right arm is under babe. Sr. Snyders has short dark hair and is wearing a white gown over her uniform. She is smiling down at the babe, who has dark hair and is wearing a check bib over a white nightdress. To the left, voile curtains are seen over a window and in the background, part of an open patterned curtain is seen.Barry Sutton LW 4royal district nursing service, rdns, rdns dimc, sister mary-ann snyders

RDNS Sr. Clare McHugh is attending Mr. Stevenson in his home to give him nursing care. She is about to fasten the wheelchair safety belt across Mr. Stevenson's lap to ensure he does not fall out of the wheelchair. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. The RDNS Trained nurses (Sisters) visited patients from many different cultural backgrounds, and Education was given to their Sisters to assist them when speaking with the patients and giving them care. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as Amputees, those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary. In the centre of this black and white photograph is Mr. Stevenson, an elderly gentleman, who has balding light hair; is wearing dark rimmed glasses, and is wearing a black cardigan over a grey shirt. A small amount of his grey trousers can be seen. He is sitting in a wheelchair and is looking at the camera. He has a light coloured small blanket tucked under and over the stumps of his above the knee amputated legs. Standing behind his chair, and slightly to his left, is a lady who is wearing glasses; has wavy light grey hair and is wearing a dark grey cardigan over her light coloured patterned frock. Her right hand is seen holding the handle of the wheelchair, and she is looking down at Mr. Stevenson. To the right is Sister Clare McHugh of Royal District Nursing Service (RDNS), who is slightly bent as she has her hands on the left and right sides of the safety belt across Mr. Stevenson's lap. The belt is attached to either side of the wheelchair. Sr. McHugh has straight blonde hair; only part of her face can be seen as she looks at Mr. Stevenson. She is wearing a white gown over her uniform. In the left background is part of a brick fireplace with wood mantelpiece. A patterned plate and dark items are on the left of the mantelpiece and flowers are seen on the right. Above this, part of a square mirror can be seen. To the right, part of a lounge chair is seen and behind this, an open check curtain and part of a voile curtain is seen. The floor is covered with a light and dark patterned carpet.Barry Sutton LW 6 Namesroyal district nursing service, rdns, rdns nursing care, rdns physiotherapy, sister clare mchugh, mr stevenson