This photograph is taken in the office at RDNS Heidelberg Centre, and the RDNS Educator, Sr. Gawith is showing RDNS Sisters the areas covered by Heidelberg Centre. Sr. Gawith is wearing the RDNS uniform of a grey frock and red cardigan and the other three Sisters are wearing the newer RDNS uniform of a blue/grey herringbone coat with a curved material RDNS insignia attached on the upper sleeve. From its inception as Melbourne District Nursing Society (MDNS), in 1885, their trained nurses worked in specific areas, 'districts'. Their first Trained nurse (Nurse) worked east and west, between Victoria Parade and Flinders Street and, north and south, between Spencer Street and Spring Street. When a second Nurse was employed they divided this area at Elizabeth Street so each Nurse could attend to patients in the same area giving continuity of care. As the Society expanded, becoming Melbourne District Nursing Service, then, with Royal patronage, Royal District Nursing Service (RDNS) many Centres were opened throughout the Melbourne Metropolitan area and outer suburbs. The District nurse's (Sisters) areas (districts) grew and were divided within Shire boundaries for e.g. Knox 1, Knox 2, Knox 3, Knox 4, within the area of the Shire of Knox. On the left of the black and white photograph is Royal District Nursing Service (RDNS) Sister (Sr) Mary Gawith, who has short dark curled hair. She is standing side-on and looking to the right as, with her extended left arm she is pointing her finger to an area on a large map attached to the wall. She is holding some white sheets of paper in her right hand. To her right and looking towards her are Sr. Daphne Geldard, who has short curled hair, is smiling, and has her hands clasped in front of her. On the right next to her, and partly hidden, is Sr. Bev. Armstrong who is smiling and has short straight blonde hair. In the front right of the photograph and partly hiding Sr. Armstrong is Sr. Elizabeth Francis, who has short dark curled hair and has her hands clasped in front of her. Sr. Gawith is wearing a grey uniform dress and dark cardigan. The other Sisters are wearing grey uniform coats with the RDNS insignia on the upper sleeve. Sr. Geldard is wearing below the knee black boots.Barry Sutton photographer's stamp, quote number KY 40, names of staff in the photograph.rdns, royal district nursing service, rdns district map, rdns uniform, rdns education, sister daphne geldard, sister elizabeth francis, sister bev armstrong, sister mary gawith

This digital image is taken at the home of a Melbourne District Nursing Society (MDNS) patient, and depicts a MDNS Sister attending to a lady who is lying in a wicker bed pram in the rear garden of her home. The wicker bed pram enabled the lady to enjoy fresh air and to be moved about easily. The image shows the MDNS uniform of a grey cotton frock with white collar, and a grey brimmed hat with a red Maltese cross in the centre of the hatband. In 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded in February 1885 with one Trained nurse, known as 'Nurse' in those days, and a second employed six months later,. The two Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. This image shows a Melbourne District Nursing Society (MDNS) Trained nurse (Sister) wearing a grey uniform with white collar, and a grey brimmed hat, which has a hatband with Maltese cross applied, standing behind and attending an elderly lady patient laying in a wicker bed pram outside her home. The Sister has her right hand resting on the pram and is looking down at the lady, and the lady, who has short grey hair, is smiling and looking toward the camera. Her body is covered with a floral cover. To the left, part of the horizontal weatherboards of a wooden house can be seen, and to the right and rear, a brick, tiled hip roof, building can be seen. The wicker bed pram has four spoked wheels and a metal frame that bends up to form a handle on its right hand side.melbourne district nursing society, mdns, mdns nurses, mdns patient care, mdns uniforms, rdns, royal district nursing service

The photograph is taken in the Waiting room of the Ante-natal Clinic at the Melbourne District Nursing Society After-Care Home at 45 Victoria Parade, Collingwood. On the 23rd of September 1930 the Ante-Natal Clinic opened at the MDNS After- Care Home. This photograph also shows Matron and Sister's uniforms in the 1930sThe Melbourne District Nursing Society (MDNS) 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 these patients, and patients from Hospitals. Many children were nursed there, some long term during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Trained 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, Melbourne. On the 5th of October 1966 the name changed to Royal District Nursing Service (RDNS) after being granted Royal patronage. Black and white photograph showing seventeen seated ladies, some partly hidden, six small children, and the Matron and two Sisters of the Melbourne District Nursing Society After Care Home. The Matron is wearing a white uniform and veil, and the two Sisters are wearing grey uniforms with white collars and veils, one is holding a baby and the other a small child dressed in dark clothing, they are on the far left and rear of the photograph. The ladies are wearing either grey or black clothing, several are wearing hats and some are wearing berets. They have short or shoulder length dark or lighter coloured hair. A Doctor, with short dark hair and wearing a white coat, is standing at the far right on the photograph. On the left, a window can be seen behind one of the Sisters. The wall at the rear of the room is paneled. after-care home, mdns, melbourne district nursing society, ante-natal clinic

This RDNS Liaison Sister is reassuring a lady who is being discharged from Mount Royal Rehabilitation Hospital regarding the visits she will receive from RDNS Sisters in her home. The Liaison Sister had previously visited the lady in the Ward to ascertain the care she would require at home and this information had been passed to the appropriate RDNS Centre and to the Sister who would be visiting the lady in her home. The RDNS Sister is wearing her RDNS winter uniform of a blue/grey skivvie under a blue/grey winter material herringbone V neck tunic style frock. She is wearing her blue/grey herringbone winter material hat.Liaison had occurred between doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District field staff and Doctors when patients were referred by General Practitioners and did not attend a Hospital. Rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by the RDNS Sisters.On the right of the black and white photograph is a Royal District Nursing Service (RDNS) Sister, who is wearing her uniform hat over her short curled hair, and a pale skivvie under a V neck tunic style grey dress. She is leaning forward with her left hand on the arm of a wheelchair, and is smiling at a lady, who has short curly hair; is wearing glasses and grey frock with a belt, and is sitting in wheelchair. She is holding the tops of walking sticks with both her hands; the foot of the sticks are resting on the ground. The footplates of the wheelchair are open and the lady has her feet on the ground. To her left stands a gentleman who has short dark hair and is wearing a buttoned up dark cardigan over a light coloured shirt, peaks showing, and light trousers. He is holding a 4 prong stick in his right hand and is looking at the lady. A Hospital Sister, who is wearing a dark cape over her white uniform and a white veil over her short dark curly hair is standing behind the wheelchair looking down at the lady. In the background, part of a brick wall can be seen on the left and to the right of this an open glass door and to its right is a closed glass door with writing on it.Barry Sutton Photographer's stamprdns, royal district nursing service, rdns uniform, rdns liaison, rdns rehabilitation

The MDNS Trained nurses (Sisters) are about to board two motor vehicles outside their Nurses home, at 39 Victoria Parade, Collingwood, to be driven to give nursing care to their patients who lived a distance away. The lady Chauffeur is probably Miss Sword who was employed by MDNS in 1922-23; she was also in charge of the garage. This enabled the Sisters to do more visits in a day than when using Public transport all the time. This image also shows the style of cars driven in that era. The Sisters uniforms are grey and their hats have a red Maltese cross attached to the centre front of the hatband. 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 female Chauffeur, 'Miss Sword', was employed who lived in the Home and was also in charge of the garage. MDNS was expanding, and In 1929 Melbourne District Nursing Society (MDNS) formed a volunteer Motor Auxiliary to transport their Trained Nurses (Sisters) to make visits more patients who lived a distance away. At first wealthy people offered their car and chauffeur, but then the general public supplied their own vehicles. They operated on week days when able and could take up to three Sisters at a time, collecting them from the Nurses Home, 39 Victoria Parade, Collingwood, at 9 a.m; dropping each Sister at a patient then picking them up and taking them to the next patient before completing the morning round and returning to the Nurses Home at 1 p.m.. The Sisters were able to double the number of visits they did each morning and did their afternoon visits on public transport. At its peak there were 60 volunteers but this fell off during World War 11. In 1944 the Red Cross were assisting, and by 1953 were taking out 16 MDNS Sisters. Appeals for volunteers occurred over the years, particularly during the Tram and Tramway Bus strike in the 1950s, and when the Royal Women's Hospital had an influx of births and wanted to send the mothers and babies home on day four but could not do so if M.D.N.S. could not visit. During 1962 the Motor Auxiliary transported 34 Sisters who preferred not to drive themselves, but as the MDNS fleet of cars grew there was less need for their service and the Auxiliary was disbanded in 1971. 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. IA black and white digital image showing, in the left foreground, the frontal view of an early model, 1920s, soft hooded car parked on the road next to the gutter. Two front spoked wheels are seen, and headlights sit either side of the radiator at the front of the nose shaped bonnet.. '3758' is written in white on the black number plate below the radiator. The female Chauffeur is dressed in a dark coat and peaked hat and is standing by the partly open driver's door. The passenger door is open and a Melbourne District Nursing Society (MDNS) Sister is standing on the footpath behind the door. Another Sister stands behind her. There is another similar car parked behind the first one. It is partly obscured, its hood is down; it has spoked wheels and one of its headlights can be seen beside the partially obscured radiator. Part of the black number plate can be seen with two of its numbers, '69', written in white. A partly obscured Sister is standing by the driver's door and another behind the open passenger door. Another Sister is standing at the rear of this car..The five MDNS Sisters are wearing their uniform grey coats and felt brimmed grey hats with a Maltese cross applied to the centre hatband, Leafless trees and some buildings can be seen in the background.melbourne district nursing society, after-care home, rdns, royal district nursing service, mdns motor auxiliary, mdns uniforms, miss sword, female chauffeur

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

Dame Ivy Evelyn Annie Wedgwood, as Senator in the Federal Government, presented the Senate with Statistics of visits done by Melbourne District Nursing Society (MDNS) Trained nurses (Sisters) showing their visits increased threefold in the four years from 1952-1956. She was Honorary Treasurer of the now named Royal District Nursing Service (RDNS) for many years. Dame Ivy Evelyn Annie Wedgwood trained as an Accountant and worked as a Secretary before joining the Australian Women's National League which led her to be a founding member of the Liberal Party, and the Victorian Liberal Party's women's section. She became the first Victorian woman Senator in the Federal Government in December 1949 and served until mid 1971. She presented the Senate with Statistics of visits done by Melbourne District Nursing Society Sisters showing their visits increased threefold in the four years from 1952-1956, and stating that many patients would have been hospitalized without the visits from the Society. She strongly supported the Home Nursing Subsidy Bill in Parliament which was passed in 1956, and continued to work for health, welfare and disability issues as well as being an advocate for women's interests, including equal pay for equal work, during her time in Parliament. Over the years she was a specialist magistrate to the Children's Court of Victoria, a Justice of the Peace, served on the National Council of Women, and was president of the Women's Justice Association, as well as Honorary Treasurer of the now named Royal District Nursing Service (RDNS) for many years and the first President of the Australian Council of Domiciliary Nursing. In June 1967 she was appointed Dame Commander of the Order of the British Empire for 'distinguished services to Parliament and the community' and RDNS holds this award in its Archives. Following her retirement from Parliament she became President of the After-Care Hospital in 1972, and on the 24th of July 1975 after chairing a Board meeting she felt unwell and returned to her home in Toorak where she died, aged 78 years, later that evening.Black and white photograph showing Dame Ivy Wedgwood, who has short wavy dark hair; is wearing glasses and has a single string of pearls around her neck. She and is sitting in a light coloured covered chair and part of a cushion is seen. She is wearing a floral dress with mid length sleeves and is sitting in front of a filled bookcase. A smaller filled bookcase is seen to her left as well as some stacked books.melbourne district nursing society, mdns, after- care hospital, royal district nursing service, rdns, dame evelyn annie wedgwood

This photograph is a visual record of Mr. Ken Mason who was appointed to the Committee of the Royal District Nursing Service (RDNS) In March 1975 and held the position of Honorary Treasurer from August 1975 until October 1979 when he was appointed President of the Board of Directors, a position he held until 1993. Women held the role as President of the Melbourne District Nursing Society (MDNS) from its founding in 1885 for the next 94 years. Mrs. John Simson was President from 1885 until late 1888. For these first three years Mr. T. Harlin was Honorary Secretary of the Society and Mr. McKinnon the Honorary Treasurer; from then these roles were held by women. The other formal positions, and the vast majority of members of the Committee, were women, with up to four Reverend gentlemen being on the Committee each year over the next years. Throughout this time the Society expanded in the areas it serviced, commencing in inner Melbourne and expanding throughout the Melbourne suburbs. It began with their two Trained nurses (Nurses) living in their own home close to the area (district) in which they carried out their nursing care walking the streets of inner Melbourne. From 1891 the Society rented several premises for use as a Nurses Home and for administrative purposes and where the bicycles the MDNS purchased for use by their Nurses in 1903 could be housed. In 1914 the Society purchased their own premises at 39 Victoria Parade, Collingwood and in 1919 there first four cars were purchased. The Society underwent further expansion with the building of the After-Care Home (later Hospital) next to their Nurses Home in Victoria Parade which meant the running of two Divisions – the After-Care and the District Nursing Division. The one Committee ran the two Divisions until the time of the separation of the Society and After-Care in 1957. In late 1888 Lady Janet Clarke became President and held this role until her death in 1908, except for extended times when she was overseas when Lady O'Loughlen held the role. Mrs. Hood was President from 1909-1911, Mrs. F.A. Lang from 1912-1914, Mrs. F. Tatham from 1915-1923, Mrs. G.G. Henderson from 1924-1947, Mrs. F. E. Shillabeer from 1948-1949, Lady Lowe from 1950-1951 and Mrs. George Simpson from 1952-1957. When the Society and After-Care separated in 1957 the District Nursing Division became the Melbourne District Nursing Service with its own Committee. Mrs. J.P. Major, formerly Miss Beatrice Mary Williams who was a Sister with the Society, and became its Matron before marrying Dr. Major, became the first President in 1957 until her death in 1958 when Mrs. George Simpson became President. She held this role until 1964, then Mrs. E.G. Wilson held the role from October 1964 to mid 1967. During this time MDNS was granted Royal patronage and the name changed to Royal District Nursing Service (RDNS) in 1966. Mrs. D. Hallenstein held the role of President from 1967 to 1974 and during this time RDNS was granted a Coat of Arms. Mrs. J.L. Frew M.B., B.S. was appointed President in October 1974 and held the position until October 1979 when Mr. K.W.G. Mason took over the role. During these years, the RDNS service continued to expanded with more Centres built throughout the Metropolitan area, more Trained Nurses employed and the RDNS now had an increased fleet of vehicles. Black and white head and shoulder photograph of Mr. Ken Mason who has thinning white hair and is wearing glasses. He is dressed in a grey self striped suit and is wearing a white shirt and a light grey tie which has black and white stripes.rdns, royal district nursing service, rdns president, melbourne district nursing society, mdns, mr k.w.g. mason

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

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

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

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

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

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 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

This photograph records Mr. Ian Muir, President of the Essendon Rotary Club unveiling the plaque at the opening of the Royal District Nursing Service (RDNS) Essendon Centre on the 30th of August 1967. Mrs. E.G. Wilson is President of Royal District Nursing Service (RDNS). Mrs. Wilson was a Committee member, then Vice-president, of Melbourne District Nursing Service, later called Royal District Nursing Service (RDNS) from 1959 until 1964 and President 1965-1967 Gradually over the years, Melbourne District Nursing Service, MDNS, later known as Royal District Nursing Service, RDNS, from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area, taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical 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 showing Mr.Ian Muir unveiling a plaque. Mr. Muir, on the right hand side of the photograph, has dark short hair and is wearing a dark suit. His is standing side-on facing to the left of the photograph. His right hand is holding the cord of the right hand side Australian flag which was partly covering the plaque. A gentleman, with short grey hair and wearing a dark suit, is on the far left hand side of the photograph. Between him and another Australian flag, on the left hand side of the plaque, stands Mrs. E.G, Wilson, who is wearing glasses and is dressed in a dark suit and a dark hat. The dark plaque is attached to a light coloured section of wall and in the background are the windows above the light coloured far wall of the room.Photographers Stamp. 'Quote No. GJ 73royal district nursing service, rdns, essendon centre, mrs e.g. (hazel janet) wilson, mr ian muir, rdns centre

The Royal District Nursing Service (RDNS) Sisters are using a hoist to transfer a lady who has limited mobility into her wheelchair. The photograph is taken in the lady's home. From the founding of the Melbourne District Nursing Society (MDNS), in 1885, known as the Royal District Nursing Service (RDNS) from 1966, equipment was loaned and demonstrated to patients, and their family members, to enable them to care for their loved ones in their home. RDNS employed a Physiotherapist who taught RDNS staff the correct transferring techniques. New lifting techniques, such as the use of a hoist, was taught to RDNS staff and were used in patient's homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members. 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, 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.Coloured photograph showing Royal District Nursing Service (RDNS), Sister Helen Pelosi on the left hand side. She has short dark hair; is wearing a a light blue apron over her RDNS uniform, and is moving a lady in a hoist to a wheelchair. Another RDNS Sister, who has short blonde hair, is wearing her RDNS uniform of Royal blue V neck tunic style frock, with part of her white blouse seen and a navy blue cardigan. She has her right arm extended towards the top of a hoist. The lady is laughing and is suspended in a sling attached to the metal hoist. Around her neck is a white scarf with blue dots which is hanging over her red jumper. She is wearing a blue dress and long dark socks. Both her hands are extended upward holding onto the metal cross bar of the hoist. Part of a wheelchair is seen in the left foreground. Open long gold curtains with voile curtains in the centre can be seen in the background.royal district nursing service, rdns, patient care, rdns equipment, sister helen pelosi

This photograph is taken in the work room in a Royal District Nursing Service (RDNS) Centre. The Sisters are writing up patient histories after giving nursing care to them in their homes during the day.Royal District Nursing Service (RDNS), had Centres throughout the Melbourne Metropolitan area. Their staff arrived at the Centre each morning to collect their work load and any messages, and then drove to their particular area (district) to give care to their patients. At the completion of the day they returned to their Centre where they wrote up the care they had given to each patient in the appropriate history folder. They also filled out forms to be sent to the RDNS Liaison Sister at the appropriate hospital when a patient was going to outpatients so the doctor would have a progress report. The Sisters also contacted other Medical and Community personal as necessary from the Centre. The RDNS cars were also kept at each centre, where they were collected each morning and returned after the Sister's community visits. Coloured photograph of a group of eleven Royal District Nursing Service (RDNS), Sisters doing their book work in an RDNS Centre. Two of the Sisters are wearing the summer RDNS uniform of a royal blue V necked tunic style dress over a white blouse and a dark blue cardigan. The others are wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey herringbone winter material V necked tunic style frock. Some Sisters are partly hidden. They are sitting at tables which have open patient history books and papers on them.In the rear are papers attached to walls and on the left a Venetian blind is covering a window.royal district nursing service, rdns, rdns uniform, rdns centre

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 at a function in the Board Room of RDNS Headquarters, 452 St. Kilda Road, Melbourne. Miss Mary Evans was the RDNS Director of Nursing from 1963-1978,From its founding in 1885 until 1891, the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked from their own homes which were located in the vicinity of their areas (districts). The Committee meetings were held at the Religious Tract Society rooms at Queen’s walk, off Swanston Street and then at the Library Room at the Melbourne Town Hall. The Annual General Meeting was held at the Town Hall. In November 1891 MDNS was able to rent a two story terraced house at 66 Cardigan Street, Carlton, at £65 a year, which contained accommodation for three Nurses and one pupil nurse as well as being used as their Headquarters. They left from their Nurses Home each morning and returned at the end of their shift to write up their book work before retiring for the day. Three years later they moved into a larger terraced house at 49 Drummond Street Carlton which was rented at ‘a very moderate rental’. There was a Board room, apartments for the Nurses and pupil nurse, a large dispensary which patients could attend each evening to have prescriptions signed and bottles refilled with ‘homely remedies’ and elixirs, which were administered for e.g. to Consumptive cases. Doctor’s prescriptions were filled at the Pharmacy. Cupboards containing donated blankets and bedclothes for needy patients were kept in this room, and it was here where the Nurses kept their nursing bags which were refilled at the end of each shift ready for any emergency and for the next day. A list of Doctors the Nurses could call was kept by the telephone. The home also had a kitchen where nourishing soup was made and distributed twice a week to the needy. Milk was also distributed when needed. In 1902 they moved into rented premises at 188 Leicester Street, Carlton and two years later, in 1904, to premises at 5 Royal Terrace, Nicholson Street, Fitzroy where they remained for ten years. In June 1914 at last the Society had sufficient funds to purchase their own terraced premises, ‘Floraston’ 39 Victoria Parade, Collingwood which was their Headquarters and Nurses Home. In 1926 the After-Care Home for recovering patients, (later called After-Care Hospital) was built by the Society next door, running from 41-47 Victoria Parade (became No. 45); the District nurses (Sisters) continued to live at No. 39. In November 1953 the District Nursing Division moved into their new Headquarters and Nurses Home at 452 St. Kilda Road, Melbourne. As RDNS expanded and now, with Centres opening throughout the suburbs, the Sisters lived in their own homes and the Nurses Home at 452 closed and those rooms used for administrative purposes. On April the 1st 1996 RDNS Head Office relocated to 31 Alma Road, St. Kilda. Coloured photograph taken at a function in a room at Royal District Nursing Service (RDNS). It shows, left to right, Sister Bev Armstrong, who has short blonde hair, Miss Mary Evans, who has short curled brown hair and another RDNS Sister who has short dark hair. The two RDNS Sisters are wearing the RDNS summer uniform of a white blouse under a royal blue V neck tunic style dress with the RDNS insignia on the left hand side. Miss Evans, is wearing a long dark coat. The three are smiling and the Sister on the right is looking at Miss Evans who is turned slightly and has part of her right arm resting over the top of the back of the chair. They are sitting in front of a window and opened gold long curtains. A tree is seen through the window. Both RDNS Sisters have cups in their hands.royal district nursing service, rdns, rdns headquarters, miss mary evans, sister bev armstrong

Two Royal District Nursing Service (RDNS) Sisters are assisting a young male patient who has a movement disorder, to change position in his reclined chair.The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Trained nurse (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.A coloured photograph showing two Royal District Nursing (RDNS) Sisters with a young male patient who is lying in a reclined chair. The Sister standing on his left is smiling; she has short straight dark hair, and is wearing a RDNS light blue apron over her royal blue dress and darker blue long sleeve cardigan. The Sister on the right hand side of the patient's chair is laughing. She has blonde hair and is slightly bent over the chair as her left hand is supporting his left leg. She is wearing the RDNS summer uniform of the day - a white short sleeve blouse under a royal blue V neck tunic style frock. Her right arm is bent and resting on top of the patient's chair and pillow. The young man has short dark hair and is smiling and looking towards the left of the photograph. He is wearing a dark blue long sleeve top and his right arm is extended toward the Sister on the left hand side of the photograph. His legs are over his coverings with his left leg bent at the knee. He is wearing light coloured pants and has a pink and white striped slipper on his foot. His pillow is white, and coverings seen are blue and white check, white, and a pale pink sheepskin. A wood board wall is in the background. A vase of flowers are standing on the part of a round low table that can be seen in the right hand rear corner. A pale lilac wall can be seen on the right hand side. A small section of a dark patterned carpet can be seen.royal district nursing service, rdns, rdns uniform, rdns patient care

The Royal District Nursing Service (RDNS) Altona Centre was situated at Blackshaws Road, Altona. This photograph is a pictorial record of the staff at Altona Centre in the 1990s.Gradually over the years, Melbourne District Nursing Service (MDNS), later known as Royal District Nursing Service (RDNS) from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area and outer suburbs with Heidelberg Centre opening in 1971. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area (district), taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical and community personal as necessary. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care their Trained nurses (Sisters) provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.The coloured photograph shows 29 female staff of the Royal District Nursing Service (RDNS), Altona Centre. The rear and centre rows of staff are standing and the front row of staff are kneeling. They are outside a grey brick building with a flat roof. A white sign is on the right hand upper corner of the building and has the words, written in blue capital letters, "Royal District Nursing Service Altona Centre". Part of a window can be seen beneath this. Part of two other windows can be seen in the centre and to the left of the building. Most Sisters are wearing RDNS uniforms, some with a short sleeve white with a blue pattern dress and a red belt. Others with a white with pattern blouse and dark blue skirt, and some have a red sleeveless jumper over their uniform, and some are wearing a dark blue cardigan or long sleeve dark blue jumper. Three staff are wearing day wear, one with a purple blouse and black skirt, another with a white blouse and pale blue skirt and the third wearing a white blouse, brown cardigan and bone slacks.. royal district nursing service, rdns, rdns centre, rdns uniform

The RDNS Sister is visiting a lady in her own home to take and record her blood pressure reading. The Sister will assess if these readings are within normal limits and relay these readings to the lady's Doctor as necessary. The RDNS uniform worn by the Sister is a white short sleeve blouse under a royal blue V neck tunic style dress and a dark blue cardigan. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the RDNS Trained nurses (Sisters) provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.A black and white photograph showing on the left, a Royal District Nursing Service (RDNS), Sister who has short dark curly hair and who has the ends of a stethoscope in her ears and with her left hand holding the other end below the blood pressure cuff on an elderly lady's extended right arm.. She is looking down at the blood pressure dial which is held in her right hand. The Sister is wearing her RDNS uniform of a white blouse, the peaked collar of which can be seen, under a darker V neck tunic style frock and a dark cardigan. The lady who has short grey curly hair, is watching the procedure. She is wearing a grey short sleeved frock with a broach at its neck and with dark long sleeves seen underneath. The lady is sitting in a patterned padded chair which has a carved wooden top. Long opened curtains with voile curtain in the centre can be see behind her. In the left background, part of a cabinet with ornaments can be seen, and in the left foreground part of a patterned lounge chair can be seen.royal district nursing service, rdns, rdns patient care - blood pressure check

Sister Short is writing down information being given by patient Sue Rowley who will be discharged from the Hospital. It will be phoned through to the appropriate RDNS Centre where it is recorded by the Clerical staff and passed to the RDNS Sister who will visit Sue on her discharge. Liaison had occurred between Doctors and the Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), nursing staff, but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective clients, co-ordinated discharge and booked the first visit by the visiting RDNS staff. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters in the field and Doctors when patients were referred by General Practitioners and did not attend a hospital. A Physiotherapist worked under contract to teach transfer techniques to RDNS Sisters before RDNS employed there own 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. The Physiotherapist made home visits with the attending RDNS Sister when required.Standing to the left of the black and white photograph is hospital Physiotherapist, Anne Radford, who has short dark hair and is wearing a white coat. She is side on and has her hands placed on the upper and lower right arm of Sue Rowley, who is sitting in a wheelchair. Sue has short dark hair and is wearing a neck brace and her left hand is holding a pulley rope. She is wearing a white top under a dark jacket and light coloured slacks. To her right is Royal District Nursing Service (RDNS), Liaison Sister, Margaret Short who is facing Sue. She has her left hand extended supporting an open book and has a pen in her right hand which is poised on a page in the book. Sister Short is wearing her RDNS grey short sleeve uniform dress and grey peaked hat over her short dark hair. The RDNS insignia is seen on the top of her left sleeve. Behind the wheelchair are some wooden bars, two upright and two vertical, which are attached to a brick wall, the pulley rope is through a wheel attached to the right hand upright. The brick wall joins another which has part of a window visible. Behind the Sister and wheelchair are four shelves attached to this brick wall. Several round weights are on the shelves.Photographer stamp. Hand written informationroyal district nursing service, rdns, rdns liaison, rdns uniform, ms sue rowley, physiotherapist anne radford, sister margaret short

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

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

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