In 1957 the 'Incorporation of the Melbourne District Nursing Service' was authorized on the 5th of March 1957. The Melbourne District Nursing Society was founded in February 1885 and in 1926 opened the After-Care Home. The name of the Society then became the Melbourne District Nursing Society and After-Care Home until 1935 when the word 'Home' was replaced with the word 'Hospital'. In 1957 the two bodies separated and the the 'Incorporation of the Melbourne District Nursing Service' was authorized on the 5th of March 1957. This name continued to be used until 1966 when Royal patronage was granted and it became the Royal District Nursing Service (RDNS).Black and white document - 'Incorporation of Melbourne District Nursing Service' . The document is bold black printing on a white background. The document commences 'Hospital and Charities Act 1948 (No. 5300); follows are the names of those present being the Governor of Victoria and two other men. The body of the document contains twenty-three lines and finishes with ‘A. Mahlstedt Clerk of the Executive Council’.melbourne district nursing society, melbourne district nursing service, royal district nursing service, rdns, after- care hospital, mdns incorporation

This hat is part of the uniform worn by all the Trained nurses (Sisters) of the Melbourne District Nursing Service, (MDNS), during the 1960s. The Sisters travelled around the inner and outer suburbs of Melbourne administering nursing care to patients in their homes. From its earliest years when Melbourne District Nursing Society (MDNS) began to wear uniforms the chosen colour was grey, though the style changed throughout the years as fashions changed from the late 1800s through to the 1970s. The Trained nurses firstly wore long grey frocks and a white cap with a long white tail hanging from the centre back. When bicycles were introduced the headgear changed to a white pith helmet adorned with a red Maltese cross in the centre front. This was held on with a veil going over the hat and tied under the chin. Over the years there were complaints that the veils became wet in the rain and they asked for a change of uniform, but this did not happen until 1921. The nurses complained their skirts became wet when riding their bicycles in the rain and asked, when raining, to be able to wear breeches and gaiters. This was granted provided they wore aprons when attending patients. It was not long before the uniform changed to a shorter length grey frock, red cardigan, grey coat and grey brimmed hat; later changed to a peaked grey hat. In 1966 MDNS were granted Royal patronage. Now as Royal District Nursing Service, RDNS, the uniform was redesigned and colour changed in 1971. By 1972 the Sisters were wearing the new winter uniform of a blue/grey skivvie under a V neck tunic style frock made of blue/grey herringbone winter material with the RDNS insignia on the upper left, and a beret of the same material. In summer the uniform became a royal blue V neck tunic style frock, with the RDNS insignia on the upper left, worn over a short sleeve white blouse. A royal blue peaked hat with the RDNS insignia in the centre front was worn at first and then only worn on official occasions. This uniform was worn until changed to a corporate style in the mid 1980s,A Melbourne District Nursing Service (MDNS) felt grey peaked hat, which has a deep crown and a flat top. Stitching comes from four corners of the crown at an angle to a grey band, which contains several rows of stitching, and surrounds the crown.. A stiff sloping grey brim, containing several rows of stitching, joins the band surrounding the crown, the rear of the brim is turned up and the front forms a peak. A cotton red Maltese cross is sewn to the centre front of the crown and band. A white with blue 'created by Effie Joy' label is attached to the inner hat band along with 'Size 22'. The crown is 9.5 cm deep and the brim is 5 cm deepmdns, melbourne district nursing service, mdns uniforms, 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

Sister Beryl Hawker is a District Nurse working for the Melbourne District Nursing Service (MDNS) and is leaving their Headquarters at 452 St. Kilda Road, Melbourne to give nursing care to a patient in their home situated in a Melbourne suburb. She is wearing the MDNS winter uniform grey wool coat over her grey cotton dress with white collar. A red Maltese cross is attached to the centre of her grey wool beret. Her nursing case contains an apron, hand towel, thermometer, instruments, dressings and lotions.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 provided was: – 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. RDNS 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, 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.Sister Beryl Hawker, who has short dark hair, is smiling as she is leaving Melbourne District Nursing Service (MDNS) Headquarters. She is wearing the MDNS uniform of an ankle length double breasted grey wool coat and wool beret with a central Maltese cross. Part of the MDNS insignia is seen at the top of her left sleeve. In her right hand she is carrying a rectangular nursing case and a light colour soft material bag. She is standing in front of the open metal spike gate between the two square grey concrete pillars of the gateway; the black numbers '452' are written on a white background on the top section of each pillar. A spiked metal fence is attached and running to the right of the right pillar; attached to this and close to the pillar, is a white plaque with black capital letters reading: 'Melbourne District Nursing Service Headquarters'. In the background is a paved path leading to part of a building with part of three arches seen and above this some concrete balustrade. A large pedestal concrete flower urn sits next to the partially seen steps leading up to the building. Some low bushes are seen behind the fence and in front of the building.59134-11melbourne district nursing service, mdns, mdns uniform, mdns headquarters, sister beryl hawker, royal district nursing service, rdns

This photograph shows a Melbourne District Nursing Service (MDNS) Sister is visiting the lady in her own home and is giving medication in the form of an injection which has been ordered by a Doctor. The Sisters is wearing her grey cotton uniform frock under her white gown and her grey peaked hat. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Melbourne District Nursing Service and from 1966 Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Trained nurses (Sisters) provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph showing a Melbourne District Nursing Service (MDNS), Sister on the left of the photograph giving an injection into the upper right arm of a lady. On the right of the photograph is an elderly lady who is sitting on a chair, she has white short curly hair; is wearing glasses and wearing a black and white patterned dress. Her head is turned to her right and she is smiling at the Sister.as she holds up the sleeve of her dress with her left hand. The MDNS Sister, who is wearing her uniform peaked grey hat over her short blond hair and wearing a white gown over her grey uniform with peaks just seen, is smiling at the lady. In both hands she.is holding a glass and metal syringe; the needle is inserted in the lady's arm.Photographer stamprdns, royal district nursing service, melbourne district nursing service, mdns, mdns patient care - injection

This photograph is taken in the Melbourne District Nursing Service (MDNS) Footscray Centre and shows a Sister receiving sterilized equipment from a Sister in the Autoclave room. The Sister receiving the equipment will use this when giving specific nursing care to a patient in her home.Melbourne District Nursing Service (MDNS), later called Royal District Nursing Service (RDNS), had an Autoclave room in each Centre where Catheter trays, dressing trays, as well as dressing packs and gowns and towels were sterilized for their Trained staff (Sisters) to take to the home when attending to a patient who required specific nursing care. When the Sisters returned to the Centre they cleaned the equipment and set up the trays ready for re-sterilizing. On the right of the black and white photograph is a Melbourne District Nursing Service (MDNS) Sister, wearing a white gown over her grey uniform, with peaks showing, and wearing her grey peaked hat over her short dark hair. She is smiling as she is handing sterilized equipment through the opened sliding window of the sterilizing room. The Sister receiving the equipment is to the left in the next room. She is wearing her grey uniform coat and peaked hat over her short dark curled hair, and is standing against a row of cupboards with their bench top at the level of the sliding window. To her right, a rectangular metal basket sits on the bench top; a white drape is in the basket and another to its right. A four pronged walking stick stands on the floor to her right hand side. At the rear left a small table is against the wall with a small grey square tapering rubbish bin beneath it. The edge of the open door can be seen on the far left. In the foreground some of the cupboards, and part of a wall with an electric switch can be seen.Photographer's stamp. Quote No. GX 6 Handwritten informationmelbourne district nursing service, mdns, royal district nursing service, rdns, rdns equipment, sterilizing, rdns centre

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

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

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

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

This photograph depicts a Melbourne District Nursing Service (MDNS) Sister administering an injection to a gentleman in his own home in the suburbs of Melbourne. The Sister is wearing the MDNS winter grey uniform short sleeve dress and grey wool beret with a central red Maltese cross. Glass syringes were used until the mid 1960s when plastic disposable syringes were then used.The Trained nurses of the Melbourne District Nursing Society (MDNS), then Melbourne District Nursing Service from 1957, and from 1966 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. This photograph depicts Melbourne District Nursing Service (MDNS) Sister Mary Maxwell administering an injection into the left upper arm of Mr Cannestra. On the left of the photograph Mr Cannestra is sitting on the padded arm of his patterned couch; he has his left arm extended. His head, which is bald with some white hair at the side and rear, is turned towards the Sister who is standing on his right. He is wearing a grey shirt and his grey trousers are held up with braces. Sister Maxwell is wearing a white gown over her grey uniform with the collar seen. She is wearing a grey wool beret with central Maltese cross, over her short, dark hair. She is standing beside the patient and her left hand is holding his left arm with his shirt sleeve rolled up to expose his upper arm. She is holding the angled barrel of a glass and metal syringe in her right hand and some of the needle can be seen against Mr. Cannestra's arm. In the background the wall is covered with a striped wallpaper, and to the right part of a long floral curtain can be seen. To the right in the foreground, a round dark tray with jar, small bottle containing the medication for injection, a glass and a white cloth, sit on a small round table with a white and patterned tablecloth.La Trobe Street Studios. Reference number 59134-21melbourne district nursing service, mdns, mdns - injection, royal district nursing service, rdns, sister mary maxwell, mr cannestra

In 1957 the 'Incorporation of the Melbourne District Nursing Service' (MDNS) was authorized on the 5th of March 1957. On the 22nd of October 1957 the 'Closure of the Melbourne District Nursing Society' was authorized. The Melbourne District Nursing Society (MDNS) was founded in February 1885 and in 1926 opened the After-Care Home. The name of the Society then became the Melbourne District Nursing Society and After-Care Home until 1935 when the word 'Home' was replaced with the word 'Hospital'. In 1957 the two bodies separated and the 'Incorporation of the Melbourne District Nursing Service' (MDNS) was authorized on the 5th of March 1957. On the 22nd of October 1957 the 'Closure of the Melbourne District Nursing Society' was authorized. The name Melbourne District Nursing Service continued to be used until 1966 when Royal patronage was granted and it became the Royal District Nursing Service (RDNS).Black and white document - 'Closure of the Melbourne District Nursing Society'. The document commences 'Hospital and Charities Act 1948 (No. 5300); then follows the names of those present being the Lieutenant Governor of Victoria and five other men. The body of the document contains twenty-three lines and finishes with 'A. Mahlstedt Clerk of the Executive Council'melbourne district nursing society, mdns, after-care home, after- care hospital, melbourne district nursing service, royal district nursing service, closure of mdn society, rdns

This photograph is a visual record of Mrs Wilson who became President of Melbourne District Nursing Service in October 1964 and continued in this role until 1967. She retired from the Committee in 1970. Mrs. E.G. (Hazel Janet) Wilson was involved with fund raising for the Melbourne District Nursing Society (MDNS) from 1930, when she was on the Committee and held positions of Honorary secretary and Honorary treasurer in the Junior Auxiliary of the MDNS and in the MDNS Comforts Fund Branch. In October 1941 she was appointed Honorary treasurer of the newly formed Council of Auxiliaries of the MDNS and in 1943 was on the organizing committee of the Cafe, at No. 43 Victoria Parade, which was run by auxiliary members to raise funds for the MDNS and After-Care Hospital. Mrs. Wilson was appointed Honorary Secretary of MDNS in 1948 and served on the Committee of Management. In 1955 Mrs. Wilson was given a letter sent by Florence Nightingale to her niece - this is now in the RDNS Archives. In 1957 the MDNS and the After-Care Hospital ceased to function as joint organizations. The District Nursing division became the Melbourne District Nursing Service (MDNS) based at 452 St. Kilda Road, Melbourne and Mrs. E. G. Wilson was a member of the first Committee of Management of this organization. By 1963 she was a Senior Vice-president of MDNS. and in October 1964 became the President. She continued in this role until 1967 and retired from the Committee in 1970. Black and white photograph of the head and shoulder view Mrs. E.G. (Hazel Janet) Wilson. who is wearing glasses and has short, light coloured wavy hair. Part of her scooped neck grey frock can be seen and she is wearing a single strand of pearls around her neck.melbourne district nursing service, royal district nursing service, rdns, junior mdns auxiliary, letter from florence nightingale, mrs e.g. (hazel janet) wilson

This photograph is a visual record of Lady Coles who was on the Melbourne District Nursing Service (MDNS) Management Committee when, in the early 1960s, MDNS set up four regional Centres, one of which she allowed to be run from her home in Frankston.Lady Coles had a long standing interest in Melbourne District Nursing Society, and in 1957 following the separation of the Melbourne District Nursing Society and After-Care Hospital, she was elected as a member of the First Committee of Management of the now Melbourne District Nursing Service (MDNS). In the early 1960s MDNS set up four Centres where cases could be reported for District Nursing action. One of these Centres covered four districts and was situated at Lady Coles home in Frankston. She was on the committee when MDNS was granted its Royal patronage and became the Royal District Nursing Service (RDNS) in 1966. In 1967 a major fund raising appeal, with Lady Coles as chairman of the Women's Committee, took place and her energy helped raise a substantial sum for RDNS Three years later, after 40 years of actively working for District, Lady Coles resigned from the Committee of Management.Black and white photograph of Lady Coles who is smiling; has curled dark hair and is wearing a black round neck frock with a white flower corsage attached on the left hand side.The material of the frock appears to be velvet. She has a two row string of pearls around her neck. She is sitting in front of a window with a striped curtain to the right of it.mdns, after-care hospital, melbourne district nursing service, royal district nursing service, rdns, lady coles, melbourne district nursing society

This photograph is a record of the Melbourne District Nursing Service (MDNS) Moorabbin Centre, situated at 611 South Road, Moorabbin. It was opened in mid 1965 and was the fourth Centre MDNS had opened. Following Royal patronage in 1966, it became known as Royal District Nursing Service (RDNS) Moorabbin Centre.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 to contact other medical personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister.Black and white photograph of RDNS Moorabbin Centre. The building is a single story brick building with a flat roof. A row of short glass windows are seen above the brick work to the left of the large glass doors which are on the right of the building. A low standing horizontal fence is seen along the front and along either side of the path leading up to the door. Some bushes are seen in the right hand side garden of the building. A footpath can be seen in front of the fence. On the left of the photograph can be seen a white house with a pitched roof. A dark sky with fluffy white 'cumulus' clouds are seen above the buildings.Photographers stamp. Quote No. DX 18mdns, melbourne district nursing service, mdns centres, royal district nursing service, rdns

This photograph is a visual record of Mrs. Major, then Miss Beatrice Williams was appointed Matron of the District Nursing Division of the Melbourne District Nursing Society (MDNS) After Care Home in April 1929 until 1933 when she resigned to marry Mr. J.P. Major. Following her marriage she was invited to become a member of the Society's Committee. In 1957 she was the first President of the Melbourne District Nursing Service.Mrs. Major, then Miss Beatrice Williams worked as a Sister with the Melbourne District Nursing Society in the early 1920s, before sailing tor England where she studied Midwifery and Community nursing. On her return her leadership qualities were recognized and she was appointed Matron of the District Nursing Division of the Melbourne District Nursing Society After-Care Home in April 1929, being considered 'capable, sympathetic, a good organizer and administrator and with understanding of the problems of the under-privileged, the aged and the sick'.. She was instrumental in convincing the Committee of Management of the need for an Ante-Natal Clinic which then opened at the After-Care Home in September 1930. Matron Williams tendered her resignation in 1933 as she was to marry Mr. J.P. Major. Following her marriage she was invited to become a member of the Society's Committee, and at the time of the dissolution of the Society and After-Care in 1957, was the first President of the now Melbourne District Nursing Service, a role she held until her death on 15th of February 1958.Black and white photograph of the head and shoulder view of Mrs. J.P. Major, nee Beatrice Mary Williams, who has short dark hair curled at the ends. She is wearing a light coloured floral frock with a square neckline.. She is sitting in front of a closed curtain.melbourne district nursing society, melbourne district nursing service, mdns, after-care home, rdns, royal district nursing service, matron, beatrice mary williams, mrs j.p. major

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

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

This photograph depicts a MDNS Sister visiting a male patient to give him nursing care. He is lying in bed in his home and the Sister is applying a bandage to his left wrist. Under her white gown the Sister is wearing the MDNS winter uniform of a grey dress with peaked collars and grey wool beret which has a central red Maltese cross attached. 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 (Sister) 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. Standing on the left of this photograph is a Melbourne District Nursing Service (MDNS) Sister who is wearing a white gown over her grey uniform, the collar of which can be seen. She is wearing her uniform grey wool beret over her short dark curly hair and is smiling as, with her outstretched left hand, she supports the partly bandaged extended left arm of a gentleman who is sitting up in bed to her right; his right arm is resting on the bed and supporting him as he is partly turned towards the Sister. She has part of a rolled bandage in her right hand. The male patient, who has short dark hair, is looking at the camera and smiling. He is wearing a white and striped pyjama top and his lower body is covered by a patterned bed cover. Part of a pillow with check pillow case sits flat behind him and part of a wooden horizontal slat bedhead is seen. On the wall behind the bed hangs a framed photograph of a couple on their wedding day. Patterned curtains cover the window in the left rear of the photograph.John Gallagher photography. 4 Benares Street, Mitcham Victoria WU 2568 No. 4-4melbourne district nursing service, mdns, mdns wound care, royal district nursing service, rdns

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

This photograph is taken in the bedroom of the man's home in the suburbs of Melbourne. It depicts one of the types of nursing care given by Melbourne District Nursing Society (MDNS) Sisters in the community. The Sister is visiting the man's home and is administering an injection which has been ordered by a doctor. Glass syringes were used by the Society until the mid 1960s and were re sterilized for future use. After this time plastic disposable syringes were used.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 provided was: – 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. RDNS 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, 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 this black and white photograph, is a Melbourne District Nursing Society Sister who is standing side-on and leaning slightly forward as she administers an injection into the right upper arm of a gentleman to her right who is sitting up in bed resting against two white covered pillows. The male patient has short dark hair; is wearing glasses, and is looking up at the Sister. He is wearing a thick grey cardigan over a pale colour pyjama top which has dark piping; the lower part of his body is covered by a dark and light coloured check bed cover. The bed has a solid wooden headrest with a bed lamp attached to its upper right. The Sister who is wearing her uniform grey brimmed hat over her dark short hair, is wearing a white gown over her grey uniform, the collar of which is seen. Three fingers of her left hand are holding back the pushed up sleeve of the man's cardigan and she is holding a white swab between her thumb and first finger. She has a glass syringe resting in her right hand with her thumb and forefinger resting against the lower glass and metal section of the syringe; part of the metal needle is seen, the rest is inserted in the mans upper arm. On the far left of the photograph part of a dressing table mirror can be seen.' Rough Proof' Latrobe Studios Ref No. 59134-8melbourne district nursing service, mdns, royal district nursing service, rdns, rdns - injection

This photograph is a visual record of Mrs. Hallenstein who was President of Royal District Nursing Service (RDNS) from 1967-1974. In February 1970 the Royal District Nursing Service (RDNS) hosted the First International Congress on Domiciliary Nursing and, as President of RDNS, Mrs. Hallenstein presided over the opening ceremony. Mrs. Hallenstein played an integral roll in the planning and correspondence to the College of Arms, London, which concluded with the Royal District Nursing Service being granted a Coat of Arms in 1970. In 1949 Mrs. D. (Elsa) Hallenstein was elected as a member of the Committee of Management of the Melbourne District Nursing Society (MDNS) and After-Care Hospital, and In 1951 was elected as a member of the Committee of Management, and appointed to the Board of Directors of the Nursing Service Division, of MDNS and After-Care. In 1957 when the Society and After-Care Hospital separated, Mrs. Hallenstein was on the first Committee of Management of the now Melbourne District Nursing Service whose Headquarters was located at 452 St. Kilda Road, Melbourne. In 1962 she was elected as a Vice-President and in 1964 as senior Vice-president of MDNS until 1967 when she became President of the Committee of Management of the now renamed Royal District Nursing Service (RDNS), a role she held until 1974. In February 1970 RDNS hosted the First International Congress on Domiciliary Nursing and, as President, Mrs. Hallenstein presided over the opening ceremony. Mrs. Hallenstein played an integral roll in Melbourne District Nursing Service being granted Royal patronage in 1966, now becoming Royal District Nursing Service (RDNS), and with the planning and correspondence to the College of Arms, London, which concluded with the Royal District Nursing Service being granted a Coat of Arms in 1970. Black and white photograph of the head and shoulder view of Mrs. D. (Elsa) Hallenstein, who has light coloured wavy short hair. She is smiling and is wearing a black frock with small brooch attached. She is sitting in a floral lounge chair and has an open white leaflet in her hands.melbourne district nursing society, mdns, melbourne district nursing service, royal district nursing service, rdns, rdns coat of arms, mrs d. (elsa) hallenstein

The 'Cancellation of Registration of the Melbourne District Nursing Society and After Care Hospital' was approved by the Hospital and Charities Commission on the 1st of September 1958.The Melbourne District Nursing Society was founded in February 1885 and in 1926 opened the After-Care Home. The name of the Society then became the Melbourne District Nursing Society and After-Care Home until 1935 when the word 'Home' was replaced with the word 'Hospital'. In 1957 the two bodies separated and the 'Incorporation of Melbourne District Nursing Service' occurred on the 5th of March 1957. The 'Cancellation of Registration of the Melbourne District Nursing Society and After Care Hospital' was approved by the Hospital and Charities Commission on the 1st of September 1958.Black and white Hospital and Charities document - 'Cancellation of Registration of the Melbourne District Nursing Society and After Care Hospital'. The document is bold black printing on a white background. It commences 'Hospital and Charities Act 1948 (No. 5300); follows are the names of those present being the Lieutenant Governor of Victoria and four other men. The body of the document contains thirteen lines and finishes with ‘A. Mahlstedt Clerk of the Executive Council’.melbourne district nursing society, mdns, after- care hospital, rdns, royal district nursing service, melbourne district nursing service

This document tells of the separation of Melbourne District Nursing Society and After Care Hospital.The Melbourne District Nursing Society was founded in February 1885. It built the After-Care Home in 1926, and the Society became the 'Melbourne District Nursing Society and After-Care Home' until 1935 when the word 'Home' was replaced by the word 'Hospital'. In 1957 the two bodies separated, with one becoming the 'Melbourne District Nursing Service', and the other the 'After-Care Hospital'. This document from the Lieutenant-Governor of Victoria shows the 'Closure of the Melbourne District Nursing Society and After Care Hospital' which took affect with dissolution on the 1st of September 1958.Black and white document: 'Closure of the Melbourne District Nursing Society and After Care Hospital' The document is bold black printing on a white background. It commences 'Hospital and Charities Act 1948 (No. 5300); follows are the names of those present being the Lieutenant Governor of Victoria and four other men. The body of the document contains twenty-four lines and finishes with ‘A. Mahlstedt Clerk of the Executive Council’.melbourne district nursing society, after-care home, after- care hospital, melbourne district nursing service, mdns, rdns, royal district nursing service

The Melbourne District Nursing Society After-Care Home was extended and the name changed from 'Home' to 'Hospital' in 1934. This is a sketch of the Administrative building and shows the style of Hospital Architecture of the 1930sThe Melbourne District Nursing Society, (MDNS), built the After-Care Home in 1926. The Home was extended and the name changed to Melbourne District Nursing Society and After-Care Hospital in 1934. It was situated at 45 Victoria Parade, Collingwood. Patients of the Society who needed more care than could be given at home, but did not need hospitalization, were nursed there along with many patients from Melbourne hospitals who needed further care before going home. Many children were nursed in the hospital, some long term, during the Polio epidemic and schooling was given to them in the hospital. In September 1930 an Ante-Natal Clinic was established. In October 1934 a Women's Welfare Clinic was opened to educate women on birth control. This was the first of its kind in Melbourne. The After Care Hospital was under the Society's banner until 1956. In 1957 the MDNS and the After-Care separated with the Government taking over the running of the After-Care Hospital. Melbourne District Nursing Society then became the Melbourne District Nursing Service, later Royal District Nursing Service (RDNS) after Royal patronage in 1966..A digital image of a sketch of the front view of the After-Care Hospital. It shows a three storey building, and on the left of the ground floor are two large windows, each with a grid of approximately twenty-one small panes of glass; divided with sash bars holding the glass. To the right of this is a double scroll door, then the building divided with five, nine pane long windows along it. There is a column portico in front of the door. The second and third storeys have eleven rows of long small pane windows with the central brick section between the floors having three roundels attached. A flat roof section runs along the the top of the third storey with the words 'After Care Hospital' written in black capital letters in the centre. Above this central section is some balustrade with finials either end. To the right of this building; part of a two storey building with the same style windows can be seen. mdns, melbourne district nursing society, after- care hospital, after-care home, melbourne district nursing service

The first After-Care Home in Melbourne was built by the Melbourne District Nursing Society (MDNS) in 1926 for patients of the Society who needed more nursing care than could be given at home but did not need hospitalization. Many patients from Melbourne hospitals who needed further care following discharge from hospital were nursed at the After-Care before going home. The Melbourne District Nursing Society, (MDNS), built the After-Care Home in 1926. The Home was extended and the name changed to Melbourne District Nursing Society and After-Care Hospital in 1934. It was situated at 45 Victoria Parade, Collingwood. Patients of the Society who needed more care than could be given at home, but did not need hospitalization were nursed there, along with many patients from Melbourne hospitals who needed further care before going home. Many children were nursed in the hospital, some long term, during the Polio epidemic and schooling was given to them in the hospital. In September 1930 an Ante-Natal Clinic was established. In October 1934 a Women's Welfare Clinic was opened to educate women on birth control. This was the first of its kind in Melbourne. The MDNS After Care Hospital was under District's banner until 1956. In 1957 the MDNS and the After-Care separated with the Government taking over the running of the After-Care. Melbourne District Nursing Society then became the Melbourne District Nursing Service and in 1966 was given Royal patronage and renamed Royal District Nursing Service (RDNS). Digital image of a front, and part of the left side view, of the Melbourne District Nursing Society After-Care Home and shows the entrance. The white plaque, attached in the centre of the brickwork between the two storeys in the front of the building reads 'Melbourne District Nursing Society After-Care Home' in black capital letters. It is a two story brick building with a tiled pitched roof, and shows two chimneys. There are four long windows running along both storeys of the front and side views. Near the rear left hand side of the building a portico can be seen and behind this part of a brick building with window runs to the left. Greenery is against part of the building and white flowers are seen in the foreground of the photograph. after- care hospital, after-care home, melbourne district nursing society, melbourne district nursing service, mdns, rdns, royal district nursing service

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

This photograph is taken in a Hospital. RDNS Liaison Officer, Sister Pat Holdsworth is giving the hospital patient, who was to be seen by RDNS District staff on his discharge, a leaflet explaining what to expect at the time of the first RDNS visit. Sr. Hodsworth is wearing the RDNS summer uniform of that era, which was a white blouse worn under a royal blue V neck tunic style frock with the RDNS insignia emblazoned on the upper left.Liaison had occurred between doctors and the 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. 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.Standing on the left of the black and white photograph is a Hospital Sister, with her dark hair drawn up, and wearing her white uniform and white cap, To her right is Royal District Nursing Service (RDNS), Sister Pat Holdsworth, who has short wavy hair; is wearing glasses, and wearing a V neck tunic style frock over a short sleeve white blouse.. She is holding a paper in her left hand which is extended over the side rail on a patient's bed. Her right arm is also extended over the bed rail and she is pointing out information on the paper to the gentleman patient who is sitting up in bed. The man has blonde shoulder length hair and is wearing a light coloured long sleeve striped gown.. His hands are resting on the white bed covers and his left wrist is bandaged. The bed has bed rails attached on each side. Another hospital staff member, a lady with dark hair who is wearing a white hospital style coat, is on the right hand side of the bed with her arms resting on the right hand bed rail..melbourne district nursing society, mdns, royal district nursing service, rdns, rdns liaison, melbourne district nursing service, sister pat holdsworth

This photograph is taken outside the Royal District Nursing Service (RDNS) Rosebud Centre which was opened in the mid 1970s. This photograph is a record of Rosebud RDNS staff in the 1980s. The Sisters are wearing their summer uniforms, some with white frocks with a blue pattern and a red belt, others with a white blouse with a red pattern on it and a royal blue skirt. The Health Aides uniform is a royal blue dress with white piping.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,(district) taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical and community personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister. 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 Sisters. The Sister assessed each client, then introduced and supervised the Health Aide in the client procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aid followed each visit. If the Health Aide noticed any change in the client’s condition, this was reported immediately and the Sister visited. The Sister made routine visits to the client for review at least monthly. Black and white photograph showing Royal District Nursing Service (RDNS), staff outside a brick building with a flat roof. A white RDNS car is on the right hand side of the photograph with "RDNS" in capital letters on the door. A tree is in the background. The twenty-five, some partly hidden, RDNS staff are wearing their uniforms. Some are wearing white patterned short sleeve dresses with a dark belt, and others white patterned short sleeve blouses and dark skirts. The letters "RDNS" are displayed in capital letter on the left hand upper pocket of the Sisters. Two Health-aides are present and are wearing dark coloured frocks with white piping. mdns, melbourne district nursing service, rdns, royal district nursing service, rdns centres

The RDNS Sisters are both holding the 1st day Cover Envelope issued by the Australian Postal Department in 1985 to commemorate the founding of the Melbourne District Nursing Society on the 17th of February 1885. A stamp is in the right hand top corner of the envelope. The main body of the stamp is pale blue. On the top of the stamp, written in deeper blue/grey, are the words "Centenary of District Nursing Services 1985" Below this, and to the right, is a pale bone colour original sign on a metal fence which reads, in white capital letters, "Melbourne District Nursing Society" Standing on the left in the foreground is a MDNS Trained nurse (Nurse) in her long grey uniform frock with white collar, cuffs and belt. She is wearing a grey helmet style hat which has a white hat band with a red Maltese cross in the centre. Her black shoes can also be seen. She is holding a bicycle; only the front wheel and part of the frame and the handlebars, which have a brown nursing bag strapped to them, can be seen, The nursing bag and handlebars cover part of the MDNS sign. At the bottom of the stamp, on a strip of white background, are the words in capital letters "Australia 33c". Below the stamp is a rectangular1st mark. On the left half of the envelope are some sketches of several two storey buildings either side of a set of steps. Some adults and children are standing on the steps as well as in the foreground; some are sketched and others dressed in various coloured clothing. In the foreground right in front of steps, stands a lady with her hair drawn up and wearing along grey frock and white apron; partly seen against her right side is a small child dressed in brown. Sister Willie Fleming is the Supervisor of the RDNS Sunshine Centre and Sister Phillipa Kariko is Supervisor of Essendon Centre. They are wearing their RDNS uniforms of white short sleeve blouses under royal blue V neck tunic style frocks. The RDNS insignia is round and has royal blue writing on a white background. In Melbourne in 1885 it was recognized that skilled nursing was needed to care for the sick poor in their own homes. On the 17th of February a meeting was held with prominent Melbourne citizens, five gentlemen and fourteen ladies. ‘Dr. Caffyn and Rev. Charles Strong explained the objects and scope of District Nursing Societies that had been formed in towns in UK’. On that day the Melbourne District Nursing Society (MDNS) was founded, the first District Nursing Service in Australia. Subsequent meetings were held to form a Committee and to draw up a Code of Rules of the Society. It was decided only nurses who had attended a Nurses Training School at a Hospital and were fully qualified would be employed by the Society, and that the Nurses would keep a daily journal of their work. After interviewing several candidates, the first Nurse, Mrs. Ferguson, was employed with a salary of £100 per annum and commenced work on the 1st of May 1885. She was employed for three months initially, but this was soon extended, “on the understanding she will make arrangements to live in the more immediate vicinity of her district”. A Doctor was consulted before any person was seen. In rotation, a member of the Superintendence Sub-Committee supervised the Nurse’s visits and could assist to alleviate some of the poor social conditions they found. Though only Trained nurses were employed, the term ’Nurse’ was used in those days, not the term ‘Sister’ that is used these days. A second Trained nurse, Mrs. Joanna Cannon, was employed in late 1885, with a trial period of six months which was extended. The two Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their carers, in the curing and prevention of disease; teaching the importance of hygiene, cleanliness, ventilation and good nutrition. They taught them, by verbal instruction and demonstration, how to make poultices, to make and apply bandages, apply medical appliances such as splints; and the Nurses supplied milk, beef tea and they cooked soup when needed. As the work increased a third Nurse was employed but this was arduous work, particularly in the heat of summer and many Nurses only remained with the Society for several months. A Midwifery Service commenced in August 1893 with Nurse Fowler the first trained Midwife. She had previously worked with the Society carrying out General nursing. The Society expanded its areas using public transport and with the Society purchasing bicycles in 1903, before procuring its first cars to cope with the influx of patients during the Spanish influenza epidemic in 1919, though these were sold in 1927 due to their poor condition..A Motor Auxiliary was formed in 1929 to take Sisters to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia vehicles in 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters, though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Over its years of expansion the RDNS Trained nurses (Sisters), continued to visit patients in their homes and gave best practice care in many fields of nursing, and to people of many cultures. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as Amputees, those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary. On the left of the black and white photograph is Royal District Nursing Service (RDNS), Sister Willie Fleming, who has curly blonde hair, and on the right, Sister Phillipa Kariko, who has short dark hair. They are standing outside Essendon RDNS Centre.. They are both wearing their RDNS summer uniform of dark V neck tunic style frocks, with emblazoned RDNS insignia on its upper left, over short sleeve white blouses, Each are holding an envelope with writing, sketched buildings and figures on the envelopes left side, and a stamp is on the upper right corner. Below the stamp is writing in a rectangle. Behind the Sisters is a brick wall with them hiding some of the white capital letters of the words 'District Nursing Service' and 'Essendon Centre'. Windows and part of the fascia of the building is seen behind this.Handwritten informationmelbourne district nursing society, melbourne district nursing service, mdns, royal district nursing service, rdns, rdns centre, sister willie fleming, sister phillipa kariko, rdns 1st day cover centenary envelope