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 given by Royal District Nursing Service (RDNS), Sisters who worked in the community. The Sister attending had received instructions for care of this toddler's wound from a Doctor. The Sister is using a dressing tray which was sterilized at the RDNS centre. At the time of this photograph many hospitals provided wound dressings for their patients when they returned home. If not attached to a hospital, the family bought their own dressings, though the Sister carried spare dressings in their cases if needed at the time of their visit. 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 Programs, to provide their Trained nurses (Sisters)) with methods of best quality care. The Sisters liaised with the patient’s Doctors and hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctors. RDNS introduced Wound Care Specialists who carried out assessments and provided advice and support to the District Sisters working in the field. Black and white photograph showing a Royal District Nursing Service (RDNS) Sister, who has sort dark hair and is wearing a short sleeved white gown over her uniform; the sleeves of her grey uniform skivvie are seen. She is sitting side-on with her left hand resting on the right leg of a seated dark curly haired toddler; her right hand is on a bandage which is from ankle to thigh on the left leg of the toddler. The toddler is wearing a T-shirt with a pattern on the front, and is sitting on a floral cover in a room in her home. At the rear of the photograph a floral covered table is seen with an open dressing tray on a sterile drape; a small jar and bottle are seen on the table. rdns, royal district nursing service, mdns, melbourne district nursing society, rdns wound care

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

An RDNS Sister had previously visited Mrs. Crook in her home and assessed the nursing care she required. Following the Sister's instructions, the Home Health Aide in this photograph, Robin Brown, is assisting Mrs. Crook from her lounge chair onto her walking frame. Mrs. Crook's son, Robert is also assisting his mother. Home Health Aides were employed and trained by Royal District Nursing Service (RDNS) from 1980. They wore a RDNS royal blue uniform, which has a white trim and RDNS badge applied to the left hand side, and a dark blue cardigan. 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 RDNS Principal Nurse Educator. Pat (Paddy) Rowley, was evaluated as successful. Following this Pilot study, Home Health Aides were employed by RDNS, and after instruction in the RDNS Education department, joined RDNS Centres and worked under the supervision of the RDNS Trained nurses (Sisters). The Sister assessed each patient, then introduced and supervised the Health Aide in the patient procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aide followed each visit. If the Health Aide noticed any change in the patient’s condition, this was reported immediately and the Sister visited. The Sister made routine visits to the patient for review at least monthly. On the left of this black and white photograph is Royal District Nursing Service, Home Health Aide, Robin Brown, who has dark shoulder length hair and is wearing a dark cardigan over her dark coloured uniform which has white piping at the edge. To her right is Mrs. Crook who is sitting froward in her lounge chair. A walking frame, which has a material bag hanging from the front bar, is in front of her. Robin Brown has her left hand on Mrs Crook's back and her right hand under her arm. Mrs. Crook has curly white hair; is wearing glasses which are resting partly down her nose, and is wearing a light coloured cardigan over her dark dress. Part of a necklace of pearls can be seen hanging over her dress. She is smiling and looking at the camera. She has her right hand on the upper part of the right wing of the walking frame and her left hand is on the top hand grip section on the left wing of the frame. To her right, her son, Robert, who is squatted down by the chair, has short dark hair and is wearing a checked shirt. He is holding the left wing of the walking frame with his left hand and his right arm is extended with his hand on his mother's back. Closed floral curtains are seen in the rear of the photograph.Photographer's stamprdns, royal district nursing service, home health aide, home health aide uniform, patient care, mrs crook, mr robert crook, home health aide robin brown

Royal District Nursing Service (RDNS), Sister Meisser is visiting Mrs. Lata to attend to the nursing care she requires in her home. She is greeting Mrs. Lata on her veranda and is observing her interaction with her dog. Sr. Meisser is wearing her RDNS uniform of a grey cotton short sleeve frock with a small white arched material logo with 'Royal District Nursing Service' in blue capital letters emblazoned on it, attached to the upper sleeve. She is wearing her grey peaked hat. This had a metal RDNS logo attached to the centre front. Sister Meisser worked from the RDNS Moorabbin centre.From its earliest years when the Trained nurses of the Melbourne District Nursing Society (MDNS) began to wear uniforms, the chosen colour was grey, though the style changed throughout the years as fashions changed from the late 1800s through to the 1970s. Their Trained nurses (Nurses) firstly wore long grey frocks and a white cap with a long white tail hanging from the centre back. When bicycles were introduced the headgear changed to a white pith helmet adorned with a red Maltese cross in the centre front. This was held on with a veil going over the hat and tied under the chin. Over the years there were complaints that the veils became wet in the rain and they asked for a change of uniform, but this did not happen until 1921. Later the Nurses complained their skirts became wet when riding their bicycles in the rain and asked, when raining, to be able to wear breeches and gaiters. This was granted provided they wore aprons when attending patients. It was not long before the uniform changed to a shorter length grey frock, red cardigan, grey coat and grey brimmed hat; later changed to a peaked grey hat. This uniform was used when MDNS was granted Royal patronage in 1966 and worn until 1971 when the uniform changed to a blue V necked frock over a short sleeve white blouse in summer and a blue/grey skivvie under a blue/grey herringbone V neck tunic style frock made of winter material in the cooler weather. Black and white photograph of Royal District Nursing Service (RDNS), Sister Meisser, of Moorabbin Centre. She is standing on the left of the photograph; has short dark hair and is wearing her grey uniform with peaked hat and black shoes, and is holding her rectangular nursing case. She is standing on the veranda of Mrs. Lata's brick home, and is smiling as she observes, to her right, Mrs. Lata, who has grey curly hair and is wearing a light coloured floral frock. Mrs. Lata is sitting in her wheelchair and with her left hand is patting her pale coloured Labrador dog who has a dark collar and is sitting to her right. Mrs. Lata is in front of her security door which has a white door frame. The house has a white lantern shaped light attached to the wall on the left hand side of the photographPhotographer's stamp and the word 'Publicity'royal district nursing service, rdns, rdns uniform, moorabbin centre, mrs lata, sister m. meisser

This photograph shows the Melbourne District Nursing Service (MDNS), Headquarter and Nursing Home at 452 St. Kilda Road, Melbourne. The cars in front of the building are part of the MDNS fleet of cars and are Australian built Holden vehicles of the 1960s. The MDNS Trained nurses (Sisters) seen are wearing their grey uniform coats and hats which had a red Maltese cross in the centre front. Under their coats the Sisters wore grey cotton frocks. The Melbourne District Nursing Service (MDNS) building at 452 St. Kilda Road, Melbourne was originally called 'Airlie Mansion', the childhood home of Stanley Melbourne Bruce, the Prime Minister of Australia 1923-1929. 452 St. Kilda Road, Melbourne is listed on the Victorian Heritage Register. 'Airlie' was used by Queen Victoria Memorial Hospital nurses as a Nurses Home prior to Melbourne District Nursing Service (MDNS), moving into this building as their Headquarters and Nursing Home in 1953. MDNS was given Royal patronage in 1966 and continued to occupy the building as Royal District Nursing Service (RDNS) until 1996. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state they were sold in 1927. A Motor Auxiliary was formed in 1929 to take Sisters to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia cars 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Black and white photograph of two Melbourne District Nursing Service (MDNS) Holden vehicles parked outside MDNS Headquarters, which is seen in the background of the photograph. To the right is a MDNS Sister, who is wearing her grey peaked hat over her drawn back long hair. and is wearing her grey coat and carrying a square nursing case with the capital letters 'RDNS' written on it; she is standing side-on, looking to her left, and her right hand is on the door handle of the front door of the right hand car. To her left is another car, with a MDNS Sister standing on the grass behind the bonnet. She is wearing glasses and her uniform hat is worn over short dark hair. She is wearing a grey coat, scarf and both gloved hands are holding the handles of bags. On the drivers door of this car the words 'Melbourne District Nursing Service' are written in capital letters. On the far left hand side of the photograph, half of a third Holden vehicle is seen and a large tree is on the nature strip between this and the middle car. Behind the vehicles, bushes and a large tree can be seen on the left hand side behind the cast iron fence. Several other bushes and small trees are seen. In the background is MDNS Headquarters; a large white two storey Italian style building, which has three, roman column, arched Arcadia on either side of a polygon shaped bay window on the ground floor, and three long windows to the left and a three arched Arcade to the right on the second floor. Two Sisters in uniform are standing on the veranda of the 2nd floor between the far right hand arch. To the left and right of the building, parts of single storey hip roof buildings can be seen.melbourne district nursing service, mdns, rdns, royal district nursing service, rdns headquarters, rdns transport, mdns uniforms

This photograph shows Royal District Nursing Service (RDNS) Sister Meissen observing Mrs Lata as she transferred from her wheelchair onto a shower chair in the bathroom at her home. Sr. Meissen is based at the RDNS Moorabbin Centre. Patients were taught, and then supervised, by RDNS visiting Sisters in the use of safe transferring techniques. From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as the Royal District Nursing Service (RDNS), from 1966, their Trained nurses cared for patients in their own homes who required to be taught safe transferring techniques, e.g. from bed to wheelchair or from chair to walking frame etc. Their family members also needed to learn safe transferring techniques to enable them to care for their loved ones. RDNS employed a Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family members. Sisters carried out General Care to those patients unable to care to their own hygiene safely, and, working towards independence where possible, the Sisters taught them safe transferring techniques using equipment such rails, shower seats, and hand showers.On the right of this black and white photograph is Royal District Nursing Service (RDNS) Sister Meissen standing and observing Mrs. Lata in the bathroom of her home. Sr. Meissen has short dark hair; is wearing a white gown over her uniform and wears a grey peaked uniform hat. She has a towel draped over her left arm, and is smiling at Mrs. Lata who is on her left and is sitting on a shower chair. Mrs. Lata, who is wearing a light coloured nightgown with flower motifs, is smiling up at Sr. Meissen and has her right arm raised with her hand gripping a rope pulley. Part of a wheelchair with the left arm removed is seen in the foreground; the seat of the chair is in line with the seat of the shower chair. A hand shower, taps and glass screen can be seen in the background of the photograph.rdns, royal district nursing service, rdns uniform, patient care, moorabbin centre, sister m. meissen, mrs lata

This photograph depicts Post-Natal care being given by a Royal District Nursing Service (RDNS), Sister who is working in the RDNS Domiciliary Infant and Maternal Care (DIMC) section of the Service. The photograph is taken in the home of the mother and baby and the Sister is in the process of putting the baby onto the Baby scales to ascertain the babe's weight. Sisters employed in the DIMC section of RDNS gave Post-natal care to both the mother and her newly born babe when they were discharged early from hospital. This photograph was taken in the year following Melbourne District Nursing Service (MDNS) being granted Royal patronage in 1966 and becoming Royal District Nursing Service. The Sister is wearing the the same grey uniform frock used by MDNS but the badge on her peaked cap has changed from a red Maltese cross to a metal round silver badge with a royal blue circle around the edge with the words 'Royal District Nursing Service' in white capital letters running inside the blue circle.The centre of the badge is divided into three sections; a silver rising sun top and bottom, and a thick royal blue horizontal central strip with 'RDNS' written in large white capital letters. This uniform continued to be worn until 1971 when it changed colour and style. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who trained in a Hospital and was qualified in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth, or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose the patient was transferred to their care. Following birth they gave Post-Natal care to both the mother and babe. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and an Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room at Footscray Hospital, and visiting early discharged Footscray Hospital maternity cases at home. Now as Royal District Nursing Service (RDNS), this service was extended to a Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give post-natal care to the mother and babe. Many Sisters working in this area had a Certificate in Infant Welfare as well as their General and Midwifery Certificates.In the right rear of this black and white photograph is a Royal District Nursing Service, (RDNS), Sister who is wearing a white gown over her uniform, and wearing her grey peaked hat with the RDNS badge visible, looking down at a baby she is about to weigh. The baby has sparse dark hair, is wearing a white singlet and is crying. The Baby scales, which are sitting on a table in front of the Sister, are white with a rectangular base and curved sided tray on the top. The Sister is standing behind the scales, and is supporting the babe's body with her right hand and holding baby's legs with her left hand as she lowers babe fully onto the scales. On the left of the photograph, the mother, who has long dark hair with a hair scarf holding it back, and is wearing a striped frock, is siting on a chair with her arms crossed at her waist, and is smiling at her babe as she observes proceedings.. Photographers Stampmdns, melbourne district nursing society, melbourne district nursing service, rdns, royal district nursing service, rdns domiciliary postnatal service, dimc

In 1964 Melbourne District Nursing Service (MDNS) commenced a Domiciliary Postnatal Service, later called Domiciliary Infant and Maternal.Care (DIMC), when Royal patronage was granted in 1966 (RDNS). The Sisters gave Post-natal care to the mother and babes and visited for support and advice as long as needed. The central RDNS badges on the Sisters hats is made of metal and has 'Royal District Nursing Service' written in the outside royal blue circle. The inner area is divided in three parts, the top and bottom sections are a silver rising sun and the central royal blue horizontal band has the letters 'RDNS' written white capital letters.In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was Hospital trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth, or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose the patient was transferred to their care. Following birth they gave Post-Natal care to both the mother and babe. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and an Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room at Footscray Hospital, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended to a Domiciliary Infant and Maternal Care (DIMC), service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give post-natal care to the mother and babe. Many of the RDNS Sisters who did DIMC had their Triple Certificate (Infant Welfare), though Midwifery trained nurses also visited. Black and white photograph showing two Royal District Nursing Service, (RDNS), Postnatal Service Sisters visiting a mother and her triplets in their home. Both Sisters and the mother are smiling and sitting on a dark coloured couch with each holding one of the babes who are wrapped in light coloured bunny rugs. The Sister on the left is wearing a white gown, with the grey peaks of her uniform showing; her nursing badge is attached to the right hand peak of her uniform. She is wearing her grey peaked hat, with central attached RDNS badge, over her short dark curled hair. To her right is the mother, who has short straight dark hair, and is wearing a white blouse and dark tartan skirt. On the far right is Sister Barbara Weisart, wearing a white gown; with the grey peaks of her uniform showing, and wearing her grey peaked hat with central RDNS badge over her short dark straight hair. A set of white baby scales are seen to her rightPhotographers Stamp. Quote No. GE 13mdns, melbourne district nursing society, melbourne district nursing service, royal district nursing service, rdns, rdns domiciliary postnatal service, dimc, sister barbara weisart

This Sister is working at the Control Centre at RDNS Headquarters, 452 St. Kilda Road, Melbourne where she is receiving a phone call which she will transfer to the appropriate staff member in Headquarters, or if appropriate pass the message onto an RDNS Centre to take action. Central Control was based in the Royal District Nursing Service (RDNS), Headquarters and the Sister working there took and directed all incoming telephone calls to persons in Headquarters or to the appropriate RDNS Centre. Each Centre contacted the Control Sister each morning for any messages received over night. She remained in contact with each RDNS Centre during the day, and in contact with Evening staff after each Centre was closed at 6 p.m. Evening staff contacted Central Control after completing their evening visits, and book work, so the Sister in Central Control knew they were safe and had completed their shift before leaving the RDNS premises. Of a weekend, when reduced staff numbers were working, the same procedure was carried out by the Sister working in each Center's office. In the centre of this black and white photograph is a Royal District Nursing Service, (RDNS), Sister, who wears glasses and has short curly hair, is wearing a watch on her left wrist and is wearing her grey short sleeved uniform with an RDNS cotton badge applied to the top of the sleeve. She is sitting behind a desk and is holding a telephone to her right ear; she has a pen in her left hand and is ready to write in an open white paged book. A typewriter is on the left hand side of the desk and a black telephone can be seen on a shelf adjacent to the desk, A framed rectangular mirror can be seen on the left hand side wall. A shelf, with several books on the left hand side, can be seen attached to the upper part of the wall behind the Sister. Below this a large chart is on the wall and a wooden shelf below itPhotographers Stamp. 'Quote No. GE 14rdns, royal district nursing service, rdns administration

The Royal District Nursing Service (RDNS) Sister is leaving Headquarters, 452 St. Kilda Road, Melbourne, to administer nursing care to patients in their own homes. The Sisters nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing other procedures, as well as assisting them with general care when required. The Sister is driving an Australian built Holden car of the 1960s which, along with the other parked Holden cars are part of the RDNS fleet of vehicles. From its inception in 1885 the Trained nurses (Nurses) of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing other procedures, as well as assisting them with general care when required. From the early days the Nurses taught the importance of good hygiene, cleanliness, good nutrition in the prevention and curing of disease and in maintaining good health, as well as giving advice and support to the patient and their carers. The Sisters liaised with the patient’s Doctor. District has had various modes of transport over the last 130 years. At first the Nurses walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded bicycles, public transport, District cars, the use of a Motor Auxiliary, nurses own cars, and even a motorcycle were used, and all these forms were intermingled until RDNS had its own fleet of vehicles. By 2009 there were 598 cars in the fleet and the nurses travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. The Royal District Nursing Service (RDNS) building at 452 St. Kilda Road, Melbourne was originally called 'Airlie', the childhood home of Stanley Melbourne Bruce, the Prime Minister of Australia 1923-1929. RDNS, then named Melbourne District Nursing Service (MDNS) moved into this building as their Nurses Home and Headquarters in 1953. MDNS was given Royal patronage in 1966 and continued to occupy the building until 1996. 452 St. Kilda Road, Melbourne is listed on the Victorian Heritage Register. In the foreground of this black and white photograph are three cars on St. Kilda Road passing Arthur Street on their left. In the centre is a Royal District Nursing Service, (RDNS), Sister sitting at the driving wheel of her RDNS grey Holden car in Arthur Street, at the corner of St. Kilda Road. Behind the car are two round poles inset in the nature strip near the kerb; the pole on the right holds the street signs 'Arthur St' which points to the left of the photograph, and 'St Kilda Rd' points towards the number '452' attached to a square concrete column and metal spiked fence running down the right of the photograph behind the nature strip. In the background of the photograph is the corner view showing two sides, part in Arthur Street and part in St. Kilda Road, of RDNS Headquarters which is a large white two storey Italian style building, which has arched Arcadia on the ground floor, and an arched Arcade on the second floor; a flat roof with two chimneys is seen. A garden with trees can be seen running in front of both sides of the building and behind the cast iron spiked fence. In Arthur Street, to the left of the large building is a two storey white building with a tiled roof. It has a white solid fence in front of it Parked at the kerb in front of this building, and the section of RDNS large white building in Arthur Street, are three other RDNS grey Holden cars. Parts of a large trees are seen on the left and right of the photograph.Photographers stamp. Quote GE 46rdns, royal district nursing service, rdns transport, rdns headquarters

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

This photograph shows the typical road conditions encountered by RDNS District Sisters during their days work visiting patients to administer nursing care. From its inception in 1885 their Trained nurses (Nurses) of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing other procedures, as well as assisting them with general care when required. District Nursing has had various modes of transport over the last 130 plus years. At first, from 1885 as MDNS, the Nurses walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used; 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 their Trained nurses (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, having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own full fleet of vehicles by the mid 1960s. In many areas there were unsealed roads, in various conditions, which the Sisters negotiated to reach their patients to give care. By 2009 there were 598 cars in the fleet and the nurses travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. In the centre of this black and white photograph is a Royal District Nursing Service, (RDNS) Sister in her RDNS grey car driving up the lower section of a hill on a dirt road. The car's rear black Victorian number plate, with 'JPH - 516' written on it can be seen. Dust is rising on either side of the car. In the foreground the road runs downward to a dip and then up the hill; trees are along either side of the road, and dirt and stones are seen on the side of the road in the left foreground. Photographers stamp. Quote No. GE 95rdns, royal district nursing service, rdns transport

The MDNS Sister has given nursing care to the gentleman and has transferred him safely into the wheelchair. Whilst doing this the Sister demonstrated the transfer technique to the lady in the photograph who is probably his wife. The Sister is wearing the MDNS uniform of the day, a grey cotton dress and red cardigan, under her white gown. She has a red Maltese cross applied to the centre of her grey peaked hat.From its founding in 1885 the Hospital Trained nurses of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing many other procedures, as well as assisting them with 'general care' when required. The Sisters needed to transfer the patients when required and also taught family members safe transferring techniques to enable them to care for their loved ones. RDNS employed a Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on patient’s family members and the RDNS nursing staff . Where possible the Sisters worked towards independence, using equipment such as shower seats, rails and hand showers. The Sisters liaised with the patient's Doctor and supported and advised the patient and Carer of any further help to assist them.On the left of the black and white photograph is a Melbourne District Nursing Service, (MDNS) Sister, who is wearing glasses and is looking at the camera. She is wearing a white gown over her uniform, with the grey collar and the dark sleeves of her cardigan in view and her grey peaked hat, with an emblazoned Maltese cross in the centre front, sits over her short dark curly hair. Both of her arms are extended and resting on either side of a pillow she is straightening. The Sister is standing next to wheelchair bound man who has short dark hair and is wearing dark trousers and a light coloured jumper. On the right hand side of the wheelchair a lady, wearing a light blouse, grey jumper and tartan skirt, is standing with her left hand resting on the left arm of the man.They are both smiling and looking slightly towards the right in the photograph A 'monkey bar hand grip' is attached to the bed by a pole and hangs on a white chair over the bed. A window covered by a blind is behind the Sister, with a light curtain to the left..Photographers stamp. Quote No. DW 84mdns, melbourne district nursing service, patient care, rdns, royal district nursing service

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

This is a typical situation confronted by RDNS Sisters when travelling to the home of a patient to give them nursing care. The Sister is driving an Australian built Holden vehicle made in the mid 1960s which was part of the RDNS fleet of cars.From its inception in 1885 the Trained nurses of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing other procedures, as well as assisting them with general care when required. Royal District Nursing Service (RDNS) had its own full fleet of vehicles by the mid 1960s. In many areas there were unsealed roads, in various conditions, which the Sisters negotiated to reach their patients to give care. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Melways Directory of maps was introduced in 1966 which was a boon to the Sisters, though it was a few years before it went beyond Seville, so those that gave nursing care in the Launching Place, Yarra Junction, Warburton and Powelltown area used a large paper map and once the particular house was found an 'x' was marked to denote the street and approximate site of the house to assist the visiting Sisters. On the right of the black and white photograph is a front-on view of Royal District Nursing Service, (RDNS), Sister driving her RDNS Holden car, with Registration number 'JPH 516' on the front number plate, on a dirt road approaching an intersection. Seen on the left hand side of the photograph is the cabin view of a truck as it is about to enter the intersection. A white house with a pitched roof can be seen on the left hand side of the photograph behind the truck. A lamp post is seen in the centre of the left hand side nature strip behind the bonnet of the truck. Trees line the road the RDNS car is traversing, and in the background behind the RDNS car, a hill with houses can be seen. photographers stamp. Quote No. GE 102rdns, royal district nursing service, rdns transport

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

Sister Coates is working as a RDNS Liaison Officer in a Hospital and is sharing information with the Occupational Health Sister.Liaison had occurred between doctors and the Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in 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 MDNS, later called Royal District Nursing Service (RDNS), Trained nursing staff, but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. 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.Black and white photograph of Sister Moira Coates, Royal District Nursing Service, (RDNS), Liaison Sister who is standing side on in the left foreground of the photograph. She has dark short hair, and is wearing her grey short sleeved uniform with an RDNS cloth badge at the top of her right sleeve, and her grey peaked uniform hat. She is in a Hospital and is holding an open leaflet in her left hand which she is showing to an Occupational Health Sister who is on her right, and is wearing her white uniform and white veil. Part of a trolley, with equipment on the top and bottom shelf, can be seen in the background on the right hand side. Closed Venetian blinds are seen in the background on the left hand side of the photograph.Photographers stamp and 'Quote No. GH 8'rdns, royal district nursing service, rdns liaison, sister moira coates

This photograph is of RDNS staff taken outside the RDNS Essendon Centre on the day of its opening on the 30th of August 1967. The RDNS Sisters are wearing their uniforms of a red cardigans over their grey cotton frocks. The opening of the RDNS Essendon Centre enabled Sisters to leave from this building to give nursing care in the community. They returned to this building at the completion of their shift.Gradually over the years, Melbourne District Nursing Service (MDNS, later known as Royal District Nursing Service (RDNS) from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their Trained nurses left from these Centres each morning to carry out their nursing visits in a specific areas (districts) taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister.Black and white photograph of sixteen Royal District Nursing Service, (RDNS) staff standing in two rows outside the Essendon Centre. The Sisters are wearing uniform dark cardigans over their grey uniforms; an RDNS badge can be seen attached on the upper left hand side front of some of the cardigans. They are wearing their grey peaked uniform hats, which have a round metal silver badge with the capital letter 'RDNS' written in blue across the centre section, attached to the centre front. They are standing in front of a building, which has a flat roof with a dark fascia and below this a large windows down to a short area of brickwork. Part of a light coloured building can be seen in the background on the left hand side of the photograph.Photographers stamp. Quote No. GJ 55rdns, royal district nursing service, rdns centre, rdns uniform

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

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

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

The Royal District Nursing Service (RDNS), Sister has sterilized an autoclave pack for use by the RDNS Sisters when attending their patients in their homes who are requiring specific treatments for e.g. catheterization. This photograph is taken in the sterilizing room at a RDNS Centre. The Sister is wearing the RDNS Summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock with the RDNS logo on its upper left.Royal District Nursing Service (RDNS) supplied sterilized equipment, such as ready set up catheter trays and dressing trays, as well as dressing packs for their Sisters to take to the home when attending to specific patient care. Patients bought their own future dressings, if these had not been given to them when discharged from Hospital. Following their day in the community the Sisters returned to the RDNS Centre and washed and set up the trays again ready for re-sterilization. Black and white photograph showing a Royal District Nursing Service, (RDNS), Sister who has blonde short hair; is wearing a short sleeved white blouse and dark tunic style frock, standing in the Autoclave room in an RDNS centre. She is emptying the Autoclave chamber after sterilizing a wrapped, 'gown and towel', which is written on the wrapping. Her right arm is extended with her hand on the metal wire basket which has a protective floral cloth covering the edge of the basket. The photograph shows a tall vertical Autoclave, which is made of metal. To the left above the chamber is a dark rectangular section with several switches, and to right of it are three white faced dials. royal district nursing service, rdns, rdns equipment, sterilizing

The photograph is taken during an Education session at Royal District Nursing Service (RDNS). The Sisters are wearing their grey uniform cotton frocks and red cardigans of that era.Education was an integral part of Melbourne District Nursing Society (MDNS), later called Royal District Nursing Service, (RDNS), from its inception in 1885. Only Trained nurses (Nurses) were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. RDNS Trained nurses (Sisters) received In-service education and by the end of the 1960s there was an increased focus on rehabilitation and independence. Patients were offered rehabilitation and new lifting techniques were introduced to reduce physical strain on staff and family members. Royal District Nursing Service ran its own rehabilitation program requiring staff to be trained in techniques by RDNS Physiotherapists.Black and white photograph of Royal District Nursing Service (RDNS), Sister Pat (Paddy) Rowley on left hand side, and Sister Joanne Wilkinson on right hand side, demonstrating the use of a hoist which has transferred Sister Liz Thomson onto a bed in the centre of the photograph. The bed is covered with white sheets and Sr. Thomson is lying on the bed with the sling of the hoist under her. The lowest metal bars and wheels of the hoist are under the bed and the top bars across the bed. Sr. Wilkinson's right hand is undoing the sling from the top bar of the hoist, and her left hand is holding the strap of the sling which is under Sr. Thomson. The Sisters are wearing their grey uniform frocks and dark cardigans. A window with two long floral opened curtains are behind the bed, and a strip heater is seen high on the adjoining wall.Photographers stamp. Quote No GW 90royal district nursing service, rdns, rdns education, equipment, sister pat (paddy) rowley, sister liz thomson, sister joanne wilkinson

Sister Gibbs is liaising with Dr. Gibbs to discuss his patients who are attended by RDNS.Liaison had occurred between doctors and the Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in 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), 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.On the left of this black and white photograph is Sister Melanie Gibbs of the Royal District Nursing Service (RDNS). To her right is Dr. L.B. Witts who is wearing glasses; has short dark hair and is wearing a grey suit, white shirt and dark tie; he has a stethoscope around his neck with the end on his lap. He is sitting 'side on' at the end of a low cabinet with three drawers seen.and is turned toward Sister Gibbs. His right arm and hand are resting on an open book on the top of the cabinet. Sr. Gibbs, who has dark curled hair, is wearing her grey RDNS uniform coat with the RDNS insignia on the upper sleeve, and peaked hat. She is seated 'side on' in the photograph facing Dr. Witts. Her dark leather rectangular shaped case, with RDNS written in the top third, is resting on Dr. Witts' low cabinet. On the left in the background sit a set of four light grey metal drawers above a set of dark drawers and part of an open Venetian blind over a window is to the right.Photographer's Stamp. Quote No. HN 47melbourne district nursing society, mdns, royal district nursing service, rdns, patient care, rdns liaison, sister melanie gibbs, dr l.b. witts

This white Toyota Corolla is one of the fleet of cars driven by Royal District Nursing Service (RDNS) Sisters to visit patients in the community to administer nursing care. 1985 was the centenary of the founding of the Melbourne District Nursing Society; founded in 1885; the Society was given Royal patronage in 1966 and became the Royal District Nursing Service. The Coat of Arms shown on the car was granted by the College of Arms in London in 1970. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state two were sold in 1922 and the others later. In 1922-23 three Peugeot cars were purchased and a woman Chauffeur, 'Miss Sword', was employed who lived in the Home and was also in charge of the garage. MDNS was expanding and a Motor Auxiliary was formed in 1929 to take the Trained nurses (Sisters) to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia cars 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters, though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Coloured photograph of the side on view of a Royal District Nursing Service (RDNS).white Toyota Corolla sedan displaying the RDNS Coat of Arms on the upper centre of the front door. The car is the same width all over and the flat bonnet joins to a sloping large front windscreen. on the side, at the level of the windscreen are two windows, above the metal body work of both doors. The roof runs from the top of the windscreen to the rear of the vehicle where it joins with a short back window which sits above a short boot. Part of the front grill and headlights either side of it are seen, and a bumper bar below this. A black tyred wheel with solid hub cap is seen under a wheel arch in the body work, at the front and rear of the vehicle.melbourne district nursing society, mdns, royal district nursing service, rdns, rdns crest, rdns transport

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

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

The occasion of the photograph is unknown, but it depicts a group of Melbourne District Nursing Service (MDNS) Sisters with Matron Tupper. She is wearing the Matron uniform of a white frock and veil and a red cape. The Sisters are wearing their grey MDNS uniforms and one is wearing a uniform red cardigan. The Sisters peaked hats have a red Maltese cross applied in the centre front.From its foundation in 1885 the Melbourne District Nursing Society (MDNS), were instrumental in giving nursing care to patients in their own homes, and to assist them if they had financial problems or resided in poor living conditions. Miss Dorothy Tupper who, as a Trained nurse, had undertaken a course in hospital housekeeping at London Prince of Wales Hospital, was contacted by MDNS in 1939 and, possessing both business and humanitarian qualities, was asked to organize their newly established Social Service Department. As the MDNS Social Service Sister, she assessed the living conditions in patient's homes. She continued in this role until being appointed Matron of the Society's District Nursing division in 1941; a role she continued in until her retirement at the end of 1962.Black and white photograph of a group of seven Melbourne District Nursing Service (MDNS) Sisters and Matron Tupper with two men and four ladies standing in two rows in front of a brick house which has a tiled roof. To the left in the back row is a gentlemen with dark hair, who is wearing a dark suit, then two MDNS Sisters, next is a lady who is wearing glasses and is dressed in a light colour coat and hat. To her right is a tall MDNS Sister wearing dark rimmed glasses, then a lady with dark curly hair looking over the shoulder of a man with grey hair who is wearing a dark suit; on his right is Matron Tupper, who is wearing her white nursing uniform, her dark cape, and white veil over her short dark curled hair. In the left front is a Sister; to her right is a lady with dark curly hair and wearing a light coloured coat over a dark skirt and jumper; then a lady with blonde curly hair who is wearing a dark coat over her light dress and is carrying a handbag. Three Sisters are to her right - the end one is wearing glasses and a dark cardigan over her grey uniform frock The other MDNS Sisters in the group are wearing their grey uniform coats over their partly seen grey uniforms. All the MDNS Sisters are wearing grey uniform peaked hats. A three storey building is to the left rear of the photograph and and parts of three other buildings behind and to the right of the house.melbourne district nursing society, mdns, mdns social service department, mdns matron, matron dorothy tupper

The photograph is taken in Frankston Centre where Sister Helen Pelosi is the Supervisor. The RDNS summer uniform at that time, worn by most of the Sisters in the photograph, was a royal blue V neck tunic style frock with the RDNS insignia in the upper left, over a short sleeve white blouse. The Sister seated at the desk with a pen in her hand, is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey herring bone winter material tunic style frock with the RDNS insignia on the upper left. The other seated Sister is wearing an RDNS blue cardigan over her uniformGradually over the years, Melbourne District Nursing Service (MDNS), later known as Royal District Nursing Service (RDNS) from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area (district), taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical and community personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister.Black and white photograph of a group of Royal District Nursing Service (RDNS),staff. At the left rear, is a Sister with short curly hair; her right hand is resting on the table, then a Sister with collar length straight hair and to her right is Sr. Helen Pelosi, who has short dark curled hair. Two Sisters are seated in front of them at a table; the Sister on the left, has curly hair and is wearing a long sleeve skivvie under a V neck tunic style frock which has an insignia on its upper left. She has an open book in front of her and has a pen in her right hand poised on the white page of the book. The seated Sister to her right is wearing a uniform cardigan and has her hands clasped resting on the table. Four of the Sisters are wearing V neck tunic style frocks with an insignia on upper left, over short sleeve white blouses. Part of a picture is seen on the wall at the left rear and a doorway with a wall behind to its right.royal district nursing service, rdns, rdns uniform, rdns centre, sister helen pelosi