This photograph depicts a Royal District Nursing Service, (RDNS), Sister administering an injection, which has been ordered by a Doctor, into the left arm of a gentleman who is sitting in a wheelchair in his home. This photograph depicts one of the types of nursing care given by the trained nurses working at RDNS in the late 1960s. The syringe being used is a disposable type which came into use in the middle 1960s.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.To the right in the black and white photograph is a Royal District Nursing Service (RDNS), Sister who is wearing a white gown over her uniform frock, and wearing a peaked grey uniform hat and black shoes. She is standing side-on facing a man on her left who is sitting in a wheelchair. She is holding the barrel of a syringe in her right hand and has her left hand on the end of the plunger of the syringe; the needle of the syringe is in the left upper arm of a gentleman. He is on the left of the photograph and has short dark hair; is wearing dark trousers and a dark patterned shirt and is watching as the Sister gives the injection. A white towel is draped over part of his left arm,. A small table, with nursing equipment on the top, stands beside the wheelchair and in front of the Sister.Photographers stamp and the word 'Publicity'rdns, royal district nursing service, rdns treatment - injection

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

This photograph shows the typical road conditions encountered by RDNS District Sisters during their days work visiting patients to administer nursing care. From its inception in 1885 their Trained nurses (Nurses) of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care and doing other procedures, as well as assisting them with general care when required. District Nursing has had various modes of transport over the last 130 plus years. At first, from 1885 as MDNS, the Nurses walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used; bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford 'T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state they were sold in 1927. A Motor Auxiliary was formed in 1929 to take their Trained nurses (Sisters) to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled until, having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own full fleet of vehicles by the mid 1960s. In many areas there were unsealed roads, in various conditions, which the Sisters negotiated to reach their patients to give care. By 2009 there were 598 cars in the fleet and the nurses travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. In the centre of this black and white photograph is a Royal District Nursing Service, (RDNS) Sister in her RDNS grey car driving up the lower section of a hill on a dirt road. The car's rear black Victorian number plate, with 'JPH - 516' written on it can be seen. Dust is rising on either side of the car. In the foreground the road runs downward to a dip and then up the hill; trees are along either side of the road, and dirt and stones are seen on the side of the road in the left foreground. Photographers stamp. Quote No. GE 95rdns, royal district nursing service, rdns transport

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

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

The RDNS Sister is visiting the gentleman in his home and has dressed the wounds on his toe. The dressings applied have been ordered by a Doctor. Under her gown, the Sister is wearing her RDNS winter uniform of a blue/grey skivvie under a tunic style frock made of blue/grey herringbone winter materialFrom its inception in 1885 the Trained nurses (Nurses) of the then named Melbourne District Nursing Society (MDNS), later named Royal District Nursing Service (RDNS) gave high quality nursing care to patients in their own homes. They nursed patients referred by Hospitals and General Practitioners giving treatments, such as injections, wound care. When sterilized dressing trays were used for the first visit, and if applicable, the Sister demonstrated how to sterilize a 'home set up', using the washed forceps from the tray and using a clean cup and plate, making sure there were no chips or cracks, which were to be used to hold lotion and dressings at the time of future visits. They were given written instructions in how to sterilize this equipment in a saucepan on the stove prior to the next RDNS visit. Patients bought their own dressings, if not supplied by a hospital, and the attending Sister demonstrated how to sterilize these in the oven, using a casserole dish as a receptacle. Clear written instructions were left with the patient.Black and white photograph showing a Sister from the Royal District Nursing Service (RDNS), giving specific care to the feet of a gentleman. The RDNS Sister has shoulder length dark hair and is wearing a white gown over her RDNS uniform. The gentleman has balding dark hair and is wearing a dark dressing gown over his pyjamas. He is seated in a recliner chair in his lounge room and has his legs extended with his feet resting on the recliner foot. He has a slipper on his right foot and nothing on his left foot. The Sister is sitting on a stool to the right of him him with equipment, a cup, saucer and forceps and a casserole dish containing dressings, on a tray in front of her on a small square wood and cane stool. She has her right hand on the gentleman's left foot and pieces of dressing material can be seen around three of his toes. There is a patterned rug, under the recliner chair, sitting on top of the carpet. To the left of the chair part of a brick fireplace can be seen. Two windows with open short patterned curtains can be seen in the background. In the right foreground, part of a white and floral tablecloth can be seen hanging over a low table.Photographer stamp. Quote No. DN 86royal district nursing service, rdns patient care, rdns wound care