The Melbourne District Nursing Society (MDNS) Trained nurses (Sisters) are receiving their morning briefing from Matron D. Tupper before leaving their Headquarters at 39 Victoria Parade, Collingwood to go to their areas (districts) in the Melbourne suburbs to give nursing care to patients in their homes The Sisters averaged 30 calls a day each, mainly wound dressings; personal care, mostly sponges in bed; and injections (insulin and diabetes management).

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.

This photograph depicts five Melbourne District Nursing Society (MDNS) Sisters of varying heights standing in a row. They are wearing their grey long sleeve uniform dresses which have peaked collars, a pocket on the upper left and lower right, and white buttons down the centre. They are all wearing their grey brimmed hats over their short dark curled hair. From left to right is Sister (Sr) J Faust, who is looking down at a clipboard she is holding in her left hand which has paper held on it by a black bulldog clip. There is writing on the top sheet of white paper and she is holding a pen in her right hand poised near a section of writing on the paper. Next is Sr. M Sexton who is looking at the camera, then Sr. B Nunn who is looking towards a mainly hidden person on the far right. The next two are Sr E Blair, who has items in her lower pocket, and Sr B White who are both looking at the clipboard and paper held by Sr. Faust. In the far lower right corner of the photograph you can see the fingers of hands holding a sheet of paper. There is no further vision of this person.

Operator 59. Finisher 30

melbourne district nursing society, mdns, mdns uniforms, royal district nursing service, rdns, sister j. faust, sister m. sexton, sister b. nunn, sister e. blair, sister b. white

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. 4-4

melbourne district nursing service, mdns, mdns wound care, 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 59134-21

melbourne district nursing service, mdns, mdns - injection, royal district nursing service, rdns, sister mary maxwell, mr cannestra

The MDNS Sisters are packing their belongs ready to move from their current Nurses Home at 39 Victoria Parade, Collingwood to their new Nurses Home and Headquarters situated at 452 St Kilda Road, Melbourne, then known as 'Airlie'.

From its founding in 1885 until 1891 the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked from their own homes which were located in the vicinity of their areas (districts). The Committee meetings were held at the Religious Tract Society rooms at Queen’s walk, off Swanston Street and then at the Library Room at the Melbourne Town Hall. The Annual General Meeting was held at the Town Hall. In November 1891 MDNS was able to rent a two story terraced house at 66 Cardigan Street, Carlton, at £65 a year, which contained accommodation for three Nurses and one pupil nurse as well as being used as their Headquarters. They left from their Nurses Home each morning and returned at the end of their shift to write up their book work before retiring for the day. Three years later they moved into a larger terraced house at 49 Drummond Street Carlton which was rented at ‘a very moderate rental’. There was a Board room, apartments for the Nurses and pupil nurse, a large dispensary which patients could attend each evening to have prescriptions signed and bottles refilled with ‘homely remedies’ and elixirs, which were administered for e.g. to Consumptive cases. Doctor’s prescriptions were filled at the Pharmacy. Cupboards containing donated blankets and bedclothes for needy patients were kept in this room, and it was here where the Nurses kept their nursing bags which were refilled at the end of each shift ready for any emergency and for the next day. A list of Doctors the Nurses could call was kept by the telephone. The home also had a kitchen where nourishing soup was made and distributed twice a week to the needy. Milk was also distributed when needed. In 1902 they moved into rented premises at 188 Leicester Street, Carlton and two years later, in 1904, to premises at 5 Royal Terrace, Nicholson Street, Fitzroy where they remained for ten years. In June 1914 at last the Society had sufficient funds to purchase their own terraced premises, ‘Floraston’ 39 Victoria Parade, Collingwood which was their Headquarters and Nurses Home. In 1926 the After-Care Home for recovering patients, (later called After-Care Hospital) was built by the Society next door, running from 41-47 Victoria Parade (became No. 45). There were now two divisions with the After Care having their owned Trained nurses (Sisters) and the District Division of Trained nurses (Sisters) who continued to live at No. 39. In November 1953 the Sisters working in the District Nursing Division moved into their new Headquarters and Nurses Home at 452 St. Kilda Road, Melbourne. In 1957 this Division changed its name to the Melbourne District Nursing Service when it separated from the After-Care Hospital. It was given Royal patronage in 1966 and became Royal District Nursing Service (RDNS). As it expanded, and now with Centres opening throughout the suburbs, the Nurses Home at 452 closed and those rooms used for administrative purposes. It now had outlying districts to service, and with a full fleet of District cars, the Sisters lived in their own homes and visited their closest District Centre each morning to collect their work for the day and returned there at the end of their community duties to do their administrative work. On April the 1st 1996 RDNS Head Office relocated to 31 Alma Road, St. Kilda.

Standing in a semi circle of this photograph are 5 Melbourne District Nursing Society (MDNS) Sisters in their long sleeve grey uniform dresses which have a belt, peaked collars and white buttons down the centre. They are wearing their grey brimmed hats with a central Maltese cross on the light colour headband over their short dark curled hair. From Left to Right are Sisters Marianne Metcalf who is smiling and is holding a tennis racket and soft sided oblong travel bag which has two leather straps and handle in her right hand; it is resting on a closed case, which has two leather straps across the lid; this sits in front of her. Next is Gerda Oppenheim who is looking serious and has her right hand on the top of the lid of an open case in front of her, then Beryl Rowley, who is smiling and has her hands on a narrow white metal horizontal pole which has a vertical pole attached. Next is Marcia Parrat who is smiling and is holding a piece of white linen on the open case, and next, on the far right, is Florence Hoey who is holding a piece of white linen on top of an open hard leather travelling bag which is sitting in front of her next to the closed case.

melbourne district nursing society, mdns, mdns headquarters, sister marianne metcalf, sister gerda oppenheim, sister beryl rowley, sister marcia parrat, sister florence hoey, royal district nursing service, rdns

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. 59134-8

melbourne district nursing service, mdns, royal district nursing service, rdns, rdns - injection

This photograph is taken in the Education Department at Royal District Nursing Service (RDNS). Principal Nurse Educator, Sister Pat (Paddy) Rowley is instructing the group in the Anatomy of the Brain. Jan Turski is a Trained nurse (Sister) working in the Domiciliary Infant and Maternal Care (DIMC) section of RDNS. Pat Walker is a Sister from Geelong, Lynne Lambert is a Sister from Qld, Paula McBreen is a Sister from St. Vincent's Hospital and Liz Seymour-Smith is a Sister from Qld. Sister Pat (Paddy) Rowley is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style frock made out of herringbone winter material.

Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained Nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Sisters could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS Sisters attended several hospitals to observe and learn special care needed to some patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Sisters.

This black and white photograph shows, standing L-R, a side-on view of Jan Turski, who has short, straight light hair and is wearing a dark cardigan and white and black hound's-tooth check skirt; she is facing right. Next is Pat Walker, who has short dark hair and is wearing a grey jumper over a check skirt. Then, Lynne Lambert, who has short wavy dark hair, and is wearing a white jumper, with a pendant hanging down it, over grey slacks. She is holding half of an Anatomical brain in her right hand. Next is Royal District Nursing Service (RDNS) Principal Nurse Educator, Pat (Paddy) Rowley, who is looking towards the left of the photograph at the Anatomical brain held by Lynne Lambert. She is wearing glasses, has short dark hair and is wearing a light grey skivvie under a darker V neck tunic style frock. She is holding an open book in her hands. Next is Paula McBreen, who has shoulder length dark hair and is wearing a dark cardigan over a grey skivvie, with a pendant hanging down it, and a check skirt. She is smiling and looking to her right toward the others. On the far right, side-on and facing the others on the left of the photograph, is Liz Seymour-Smith who has shoulder length dark hair and is wearing a dark grey skivvie, and white, with dark check, slacks. In front of the group is a round dark wooden top table, which has a book and open folder on it, as well as a round white plastic base with the other half of the anatomical brain sitting in it.

Barry Sutton MB 30

royal district nursing service, rdns, rdns education, sister jan turski, sister pat (paddy) rowley, sister lynne lambert, sister pat walker, sister paula mcbreen, sister liz seymour-smith

This black and white photograph is taken in the Education Department at the Western General Hospital where the Student nurses are doing their nursing training. Trained nurse (Sister) Nan Deakin, RDNS Nurse Educator, is checking information written by one of the Student nurses following a lecture she gave the students on Community Nursing. Following their time in the Education Department, the Student nurses will go to an RDNS Centre to receive education in the field from an RDNS Sister working in the community.

During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures Students went to a RDNS Centre and each student accompanied a Trained nurse (Sister) for a week observing and gaining knowledge on all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced after discharge from hospital. During 1971 there were 584 student nurses who received field experience with RDNS.

This black and white photograph shows a group of eight female Hospital Student nurses, some partly hidden, and one male Student nurse, sitting randomly in a group about the room; each at a small metal framed, white wooden top table. The tables have books, printed sheets and white sheets of paper on them. The female Student nurses are wearing white nursing caps and checked uniforms with white collars and cuffs. They have a variety of hair styles, some with long hair drawn back. Standing to the right, in the centre of the group, is Royal District Nursing Service (RDNS), Nurse Educator, Sister Nan Deakin, who has short dark hair and is wearing glasses. She is wearing her RDNS uniform of a light grey skivvie under a dark V neck tunic style dress with the RDNS logo on its upper left. She is looking down at a sheet of paper held by one of the Student nurses, who has short wavy dark hair. The nurse is holding the sheet of paper with both hands and is looking at it. The rear group of four students appear to be in discussion. The others are looking at sheets of paper on their tables. The male Student nurse, in the left foreground, has short dark hair and is wearing a white uniform. Closed dark concertina doors are in the background.

Barry Sutton MA 79

royal district nursing service, rdns, rdns education, western general hospital students, sister nan deakin

The photograph is taken at Western General Hospital. Royal District Nursing Service (RDNS) Nurse Educator, Sister Nan Deakin, after teaching the RDNS Community Nursing Education program to the Western General's two Student nurses is introducing them to Sister Ellen Anderson, Supervisor of the RDNS Footscray Centre. Sr. Anderson will arrange for the Students to go on District nursing visits with RDNS Trained nurses (Sisters) from Footscray Centre who administer nursing care in the community. Sister Deakin is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style frock made of herringbone winter material. Sister Anderson is wearing the RDNS summer uniform of a white short sleeve blouse under a royal blue V neck tunic style frock. The RDNS logo is seen on the upper left on both uniforms.

During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures Students went to an RDNS Centre and each Student accompanied a Trained nurse (Sister) for a week observing and gaining knowledge of all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced after discharge from hospital. During 1971 there were 584 student nurses who received field experience with RDNS. From its inception as Melbourne District Nursing Society (MDNS), in 1885, their Trained nurses (Nurses) worked in specific areas, 'districts'. The first Nurse worked east and west, between Victoria Parade and Flinders Street and, north and south, between Spencer Street and Spring Street. When a second Nurse was employed they divided this area at Elizabeth Street so each Nurse could attend to patients in the same area giving continuity of care. As the Society expanded, becoming Melbourne District Nursing Service, then, with Royal patronage, Royal District Nursing Service (RDNS) many Centres were opened throughout the Melbourne Metropolitan area and outer suburbs. The District nurse's areas (districts) grew and were divided within Shire boundaries for e.g. Knox 1, Knox 2, Knox 3, Knox 4, within the area of the Shire of Knox. A map covering the Centre’s Districts was attached to a wall, and its different colour pins identified streets where patients lived who were currently receiving nursing care from the RDNS Trained nurses (Sisters) working in these areas (districts).

On the far left of this black and white photograph is a male Student nurse, who has collar length, straight dark hair. He is wearing his hospital uniform of white trousers and top. To his right, is a Student nurse who is wearing her white nursing cap, with motif in the centre front, over her long drawn back dark hair. and her short sleeve uniform checked frock, with white two breasted buttons down it, and with white collar and cuffs. A nursing watch is attached to its upper left. Both are standing in the dark framed doorway of a room and are looking to the right and smiling at Royal District Nursing Service (RDNS), Nurse Educator, Sister Nan Deakin. She has short dark hair; is wearing glasses, and is wearing her RDNS uniform of a light grey skivvie under a darker V neck tunic style frock. To the right of her, is RDNS Sister Ellen Anderson who has short curly dark hair and is wearing her RDNS uniform of a white short sleeve blouse, under a dark V neck tunic style frock. They are standing side-on facing the Students.

Barry Sutton MA 78

royal district nursing service, rdns, rdns education, western general hospital students, sister nan deakin, sister ellen anderson

Sister Ellen Anderson is the Supervisor of the Royal District Nursing Service, (RDNS) Footscray Centre. She is wearing her RDNS uniform of a short sleeve white blouse under a royal blue V neck tunic style dress. Sr. Anderson is showing two Student nurses from Western General Hospital the map with the areas covered by Footscray Centre. The map had different colour pins to identify streets where patients lived who were currently receiving nursing care from RDNS Sisters working in these areas (districts).

During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures Students went to a RDNS Centre and each Student accompanied a Trained nurse (Sister) for a week observing and gaining knowledge of all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced after discharge from hospital. During 1971 there were 584 Student nurses who received field experience with RDNS. From its inception as Melbourne District Nursing Society (MDNS), in 1885, their Trained nurses (Nurses) worked in specific areas, 'districts'. The first Nurse worked east and west, between Victoria Parade and Flinders Street and, north and south, between Spencer Street and Spring Street. When a second Nurse was employed they divided this area at Elizabeth Street so each Nurse could attend to patients in the same area giving continuity of care. As the Society expanded, becoming Melbourne District Nursing Service, then, with Royal patronage, Royal District Nursing Service (RDNS) many Centres were opened throughout the Melbourne Metropolitan area and outer suburbs. The District nurse's areas (districts) grew and were divided within Shire boundaries for e.g. Knox 1, Knox 2, Knox 3, Knox 4, within the area of the Shire of Knox. A map covering the Centre’s Districts was attached to a wall, and its different colour pins identified streets where patients lived who were currently receiving nursing care from the RDNS Trained nurses (Sisters) working in these areas (districts).

On the left of this black and white photograph is Royal District Nursing Service (RDNS), Sister Ellen Anderson, who has short dark curly hair and is wearing her RDNS uniform of a short sleeve white blouse under a dark V neck tunic style frock. She is standing side-on, towards the right of the photograph, and with her left hand is pointing to an area on a large map attached to the wall in the background. To her right, is a Student nurse who is facing Sr. Anderson, and looking at the area on the map. Under her white nurses cap, she has her long dark hair drawn back, and is wearing her hospital uniform of a short sleeve checked dress with white collar and cuffs; a nursing watch is attached to its upper left; her hands are clasped in front of her. To her right, is a male Student nurse who has collar length straight dark hair, and is wearing white trousers and a short sleeve white top with pens in the left upper pocket. He is looking at the areas on the map..

Barry Sutton MA 77 information

royal district nursing service, rdns, rdns education, rdns centre, rdns district map, sister ellen anderson

This black and white photograph is taken in the Education Department at Western General Hospital. Sr, Nan Deakin is a Nurse Educator with RDNS and is giving a lecture about District Nursing to hospital student nurses before each nurse goes to RDNS Centres. This lecture prepares each nurse before she goes out for a week with an RDNS Sister to visit patients who are receiving nursing care in their home.

During their training, Student nurses from several hospitals either attended the Royal District Nursing Service (RDNS), Education Department, or, a RDNS Nurse Educator travelled to the appropriate hospital’s Education Department to educate the Trainees on District nursing through the RDNS Community Nursing Program. Following the lectures Students went to a RDNS Centre and each student accompanied a Trained nurse (Sister) for a week observing and gaining knowledge of all facets of nursing care in the home. This gave them an insight into the home conditions and situations patients faced after discharge from hospital. During 1971 there were 584 Student nurses who received District field experience with RDNS.

This black and white photograph shows the back view of three rows of hospital student nurses in their white uniforms and caps, sitting at small tables facing toward, on the left, Royal District Nursing Service (RDNS), Nurse Educator, Sister Nan Deakin, and their hospital Tutor Sister who is wearing her white uniform. The Sisters are standing in front of a large blackboard at the rear of the photograph facing the group. A smaller blackboard is attached to the wall to the left. On the right, the Tutor Sister has short dark curly hair and is standing side-on turned toward Sr. Deakin who is to her left. Sr. Deakin has short dark straight hair; is wearing glasses; and is wearing her RDNS uniform of a light grey skivvie under a darker V neck tunic style frock. She has her hands crossed and is holding sheets of paper in her right hand. There is a dark table to her left with a book and a short collapsible lectern on it. To the left of that is a row of short wooden cupboards and above that an open window with a horizontal striped curtain on the far end. The metal framed tables in front of the nurses have white wooden tops and have books, papers, pens and rulers on them.

Barry Sutton MA 75

royal district nursing service, rdns, rdns education, western general hospital students, sister nan deakin

This photograph is taken in the lady's home, and the Medical Student and Royal District Nursing Service (RDNS) Sister are supervising the lady walking with two 4 prong sticks.

From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to ensure they were able to live independently in their own homes was at the forefront of care given by their Trained Nurses (Sisters). As well as teaching and supervising the use of equipment, their Sisters taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. RDNS at first held workshops given by a contracted private Physiotherapist before employing their own Physiotherapist in 1975 who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family members. When required the Physiotherapist accompanied the Sister on her visit to the patient in their home.

On the left of this black and white photograph is the rear view of a Medical Student who is standing side-on looking towards the right, and smiling at an elderly lady. He has short dark curly hair and is wearing a white hospital style coat, which has a stethoscope folded in the pocket, over grey trousers. His right hand is resting on top of the lady's right hand which is on the top of a metal 4 prong stick. The lady, who is wearing glasses and has short wavy grey hair, is standing holding the tops of the metal 4 prong sticks which are standing either side of her on the grey carpet. She is smiling at the doctor. She is wearing a black skirt and a black sleeveless jacket over a black and white patterned blouse, and is wearing black shoes with her left shoe raised with a deep sole and heel. To her right, standing side-on facing her, is a Royal District Nursing Service (RDNS) Sister who has her long dark hair drawn back. She is wearing a white short sleeve gown and her right hand is behind the lady; her left hand is on the lady's right hand on top of the 4 prong stick. In the left background is a vinyl style grey couch and on the right is a window with open Venetian blinds and open long dark curtains on either side. An air-conditioner sits in the lower section of the window.

Barry Sutton Quote 25

royal district nursing service, rdns, rdns rehabilitation

A Medical Student is explaining the use of a bottle of testing tablets to a lady who is a patient of RDNS. The Royal District Nursing Service (RDNS) Sister is holding testing equipment; i.e. the eye dropper and test tube in the receptacle, in her hands, and is observing the Medical Student giving instructions to the lady. The photograph is taken in the lady's home.

Education was an integral part of Melbourne District Nursing Society (MDNS) from its inception in 1885, later called Royal District Nursing Service, (RDNS). Only Trained nurses (Nurses) were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961 Education programs commenced at MDNS with Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program. RDNS Sisters attended several hospitals to observe and learn special care needed to some patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home and to Mount Royal Hospital to observe the care of patients in the rehabilitation ward. RDNS moved its Education Department from 452 St. Kilda Road to 448 St. Kilda Road in 1974. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods for detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Sisters.

In the left foreground of this black and white photograph is the partial view of two metal 4 prong sticks.To their right, seated on a long dark vinyl type couch, is a Medical Student who has short curly black hair; is wearing a white hospital coat over grey trousers, a white shirt, and a tie with small black and white squares. A stethoscope is folded in the pocket of his coat. He is turned toward the right of the photograph and is holding, on its side, a small bottle in his left hand and is pointing his right index finger to writing on its label. An elderly lady who is wearing glasses and has wavy grey hair is sitting to his right and is looking at the label on the bottle. She is wearing a black skirt and black sleeveless jacket over a black and white patterned blouse. Her hands are clasped in her lap. Sitting to her right, and facing the lady, is a Royal District Nursing Service (RDNS) Sister who has her long dark hair drawn back. She is wearing a white short sleeve gown over her uniform, and is holding a white oblong receptacle which holds a test tube, which has dark fluid in the bottom, and an eye dropper. In front of her, is a white 'inner tray' which is clipped onto the front edge of an open oblong black RDNS nursing case which is in the right foreground of the photograph sitting on a long, narrow, low table. On the table and to the left of the case a small white hospital drape runs along the table.

Barry Sutton MA 24

royal district nursing service, rdns, rdns patient care, rdns education

Sister Pat (Paddy) Rowley is the Principal Nurse Educator at Royal District Nursing Service (RDNS) and is standing with a group of RDNS staff in the Education Department at RDNS Headquarters, 452 St. Kilda Road, Melbourne. Sr. Rowley is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style dress made of herring bone winter material. She, and the lady in the white dress, are displaying the RDNS winter beret made of the same herringbone material as the RDNS winter dress.

From its earliest years when the Trained nurses (Nurses) of Melbourne District Nursing Society (MDNS began to wear uniforms the chosen colour was grey, though the style changed throughout the years as fashions changed from the late 1800s through to the 1970s. Their Nurses firstly wore long grey frocks, and on their heads, a white cap with a long white tail hanging from the centre back. When bicycles were introduced the headgear changed to a white pith helmet adorned with a red Maltese cross in the centre front. This was held on with a veil going over the hat and tied under the chin. Over the years there were complaints that the veils became wet in the rain and they asked for a change of uniform, but this did not happen until 1921. Later the Trained nurses (Sisters) 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,

This black and white photograph depicts six Royal District Nursing Service (RDNS) staff standing in two rows in front of closed long grey curtains. They are looking at the camera and smiling, some are partly hidden. L- R back row - A lady who has short dark hair and is wearing a grey and black patterned frock. Next is a lady with her black hair drawn back; is wearing black pants and a black sleeveless V neck jacket over a white skivvie. The next lady has wavy short dark hair; is wearing white slacks, a light grey jacket with lapels and the pocket on its upper left has a vertical zip in the centre. She has a black and white striped scarf around her neck. Front row L-R - A lady with shoulder length black curled hair who is wearing a white uniform style dress and is turned toward the right of the photograph. Her right hand is on the top edge of an RDNS beret which is held on its edge with the inner white lining seen, and the upper section showing the deep front of the beret which has a central RDNS logo. To the right of this, is Sister Pat (Paddy) Rowley who has short dark straight hair; is wearing dark rimmed glasses and is wearing a light grey skivvie under a darker V neck tunic style dress. She is turned toward the left of the photograph and her right hand is holding the bottom edge of the RDNS beret and her left hand is on the top edge. The next lady, on the far right, has shoulder length black curly hair and is wearing dark grey slacks, and a black round neck jumper over a white blouse with the peaks and cuff seen.

Barry Sutton MA 23

rdns, rdns education, royal district nursing service, rdns uniform, sister pat (paddy) rowley

The photograph shows a group of Royal District Nursing Service (RDNS) Sisters receiving a lecture on 'Physical Handicap' given by Sr. Rowley in the Education Department at RDNS Headquarters 452 St. Kilda Road, Melbourne. Sr. Rowley is the Principal Nurse Educator at RDNS.

Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS Sisters attended several hospitals to observe and learn special care needed to some patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Sisters.

This black and white photograph shows the back view of four rows of Royal District Nursing Service (RDNS) Sisters sitting at small tables and looking toward Sister Pat (Paddy) Rowley who is facing them. She is in the rear centre of the photograph. The 16 Sisters, some partly hidden, are wearing a variety of summer day clothes. Spectacle cases, pens, sheets of paper, and some books are on the tables in front of them. Sister Rowley who wears glasses; has short straight dark hair, is wearing a white short sleeve blouse under a dark V neck tunic style dress. She is looking at the group and her right hand is pointing to writing on a large blackboard standing to her right. To the left of the blackboard, a draped Human Torso Model sits on a table. A long dark curtain hangs behind part of the blackboard. Running along the left of the photograph is a wooden door with glass panels at the top, some light colour wall with a dark picture rail, and a set of double glass doors with long grey curtains either side. To the right of Sr. Rowley part of a large white board is seen hanging above and below the dark picture rail on the wall.

Barry Sutton LY 69

rdns, royal district nursing service, rdns education, sister pat (paddy) rowley

The RDNS Sisters are named in the photograph, L-R - Sister Megan Margaret Day who works in the Domiciliary Infant Maternal Care (DIMC) section of RDNS. The next Sister's name is unknown, and on the right is Sister Ruth Eileen McKeon who is a Nurse Educator with RDNS. The photograph is taken in the Education Department of Royal District Nursing Service, and the two Sisters are receiving instruction on the function of the organs of the human body from Sister McKeon. The Sisters are wearing the RDNS summer uniform of a white short sleeve blouse under a royal blue V neck tunic style frock.

Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. In 1980, a Home Health Aide pilot study, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of the RDNS Sisters.

On the left of this black and white photograph is Royal District Nursing Service (RDNS), Sister Megan Day, who has curled short dark hair and is wearing glasses. She is standing side-on facing to the right of the photograph. The index finger of her right hand is pointing to an area on the internal frontal view of a Human Torso Model which is sitting on a table to her right. Between her and the model is another Sister who has her long dark hair drawn back. She is looking at the internal organs in the Model. To the right of the Model is Sister Ruth McKeon, who has her long light colour hair drawn back into a French Twist. She is standing side-on facing to the left of the photograph, and is smiling as she holds one of the organs taken from the Model. When looking at the photograph, the left side of the Model's face is seen, and on the right side the Internal organs of the face are seen. The internal organs of the neck and torso of the Model are seen. A blackboard with writings about the function of 'The Heart' is In the background. The Sisters are all wearing their RDNS uniforms of a short sleeve white blouse under a V neck tunic style dress which has the RDNS logo on its upper left.

Barry Sutton LY 66 names

rdns, rdns education, royal district nursing service, sister megan margaret day, sister ruth eileen mckeon

In 1974 Ms. Val Douglas was appointed as the first Social Worker at RDNS. This photograph is taken in her Office at RDNS Headquarters, 452 St. Kilda Road, Melbourne. Ms Douglas graduated with her Degree of Social Work from the Columbia University in USA

The Melbourne District Nursing Society (MDNS) were the first in Melbourne, in early 1928, to recognize some patients leaving the MDNS After-Care Home, and many at home, needed further social care. 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. In December 1934 the first full-time trained district Almoner, Miss Una Riall, was employed and carried out a great deal of work with the Society’s Midwifery patients. In 1935 she resigned as she felt the amount of work required needed more than one person. The Society were unable to obtain a replacement due to the shortage of trained Almoners so a Social Service Department was set up and a Social Service Officer, Sister Tupper, was employed at the After-Care Home; she successfully gained better housing from the Housing Commission for families living under unsuitable conditions. By 1941 conditions had improved with full employment of breadwinners and Sr. Tupper was appointed the Matron of the District Nursing Division of MDNS. In 1974, now as Royal District Nursing Service (RDNS), it was recognized the Service needed allied health workers and Ms. Val Douglas was employed as the RDNS first Social Worker.

This black and white photograph shows Royal District Nursing Service (RDNS) Social Worker, Ms. Val Douglas, sitting behind her desk. She has short wavy dark hair; is wearing dark rimmed glasses, and is wearing a V neck, short sleeve, white, which is patterned with small grey oblongs, dress. She is smiling as she looks at the camera. She has a pencil in her right hand which is poised over a quarto sheet of paper which contains writing. A large blotter, clipboard and larger notepad are under this, and other sheets of paper, a notebook, and a receptacle holding several pens also sit on the dark wooden desk. Only a small section of the padded black chair she is sitting on is seen. On the right behind this, is a tall dark grey filing cabinet. On the left is a white shelf with a few books standing vertically on it and behind this part of a window is seen. To its right an open long dark curtain is seen.

Barry Sutton LY 65 name

royal district nursing service, rdns, rdns social worker, ms val douglas

Ms. J. Caeli is the RDNS Medical Records Librarian and is visiting Ms.Val Douglas, the RDNS Social Worker, in her Office at RDNS Headquarters, 452 St. Kilda Road,Melbourne. Ms. Caeli is giving instruction to Ms. Douglas regarding statistics for Social Work.

The Melbourne District Nursing Society (MDNS) were the first in Melbourne, in early 1928, to recognize some patients leaving the MDNS After-Care Home, and many at home, needed further social care. 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. In December 1934 the first full-time trained district Almoner, Miss Una Riall, was employed and carried out a great deal of work with the Society’s Midwifery patients. In 1935 she resigned as she felt the amount of work required needed more than one person. The Society were unable to obtain a replacement due to the shortage of trained Almoners so a Social Service Department was set up and a Social Service Officer, Sister Tupper, was employed at the After-Care Home; she successfully gained better housing from the Housing Commission for families living under unsuitable conditions. By 1941 conditions had improved with full employment of breadwinners and Sr. Tupper was appointed the Matron of the District Nursing Division of MDNS. In 1974, now as Royal District Nursing Service (RDNS), it was recognized the Service needed allied health workers and Ms. Val Douglas was employed as the RDNS first Social Worker.

On the left of this black and white photograph is Royal District Nursing Service (RDNS), Ms. J. Caeli, who has collar length dark curled hair and is wearing a light and dark patterned and striped shirt style frock. She is standing with her left hand resting on a desk, and looking down at a pen in her right hand which is poised over a sheet of white paper held by Ms Val Douglas who is sitting to her right behind her desk. Ms Douglas is wearing dark rimmed glasses; has short wavy dark hair and is wearing a white with small grey oblong patterned dress. She is looking up at Ms. Caeli and is holding the piece of paper with her left hand. There is a large blotter, sheets of folded papers, a stapler and a small bottle of glue on the desk. In the left background is a low white cupboard with a vase of flowers and books, standing upright, on it. Behind this is white framed window.and an open long dark curtain. In the rear far right is part of a dark grey filing cabinet.

Barry Sutton LY 64

rdns, royal district nursing service, rdns medical records, rdns librarian, rdns social worker, mdns, melbourne district nursing society, ms j. caeli, ms val douglas

RDNS Sr. Clare McHugh is attending Mr. Stevenson in his home to give him nursing care. She is about to fasten the wheelchair safety belt across Mr. Stevenson's lap to ensure he does not fall out of the wheelchair.

The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. The RDNS Trained nurses (Sisters) visited patients from many different cultural backgrounds, and Education was given to their Sisters to assist them when speaking with the patients and giving them care. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as Amputees, those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.

In the centre of this black and white photograph is Mr. Stevenson, an elderly gentleman, who has balding light hair; is wearing dark rimmed glasses, and is wearing a black cardigan over a grey shirt. A small amount of his grey trousers can be seen. He is sitting in a wheelchair and is looking at the camera. He has a light coloured small blanket tucked under and over the stumps of his above the knee amputated legs. Standing behind his chair, and slightly to his left, is a lady who is wearing glasses; has wavy light grey hair and is wearing a dark grey cardigan over her light coloured patterned frock. Her right hand is seen holding the handle of the wheelchair, and she is looking down at Mr. Stevenson. To the right is Sister Clare McHugh of Royal District Nursing Service (RDNS), who is slightly bent as she has her hands on the left and right sides of the safety belt across Mr. Stevenson's lap. The belt is attached to either side of the wheelchair. Sr. McHugh has straight blonde hair; only part of her face can be seen as she looks at Mr. Stevenson. She is wearing a white gown over her uniform. In the left background is part of a brick fireplace with wood mantelpiece. A patterned plate and dark items are on the left of the mantelpiece and flowers are seen on the right. Above this, part of a square mirror can be seen. To the right, part of a lounge chair is seen and behind this, an open check curtain and part of a voile curtain is seen. The floor is covered with a light and dark patterned carpet.

Barry Sutton LW 6 Names

royal district nursing service, rdns, rdns nursing care, rdns physiotherapy, sister clare mchugh, mr stevenson

Sister Snyders is based at RDNS Essendon Centre. She is a trained midwife working in the RDNS Domiciliary Infant and Maternal Care (DIMC), section and is attending a recently born baby in her home to give Post-Natal care. Often mothers and babes came home early from hospital, many after 24 hours of birth, and RDNS Sisters attended for several days to check babies progress, including - colour, feeding regime, weight, take a PKU test and give any advise needed to the mother. They also gave Post-Natal care to the mother.

In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. MDNS established Melbourne's first Family Planning Clinic in 1934. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor at the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who carried out DIMC visits also had their Triple i.e. Infant and Child Welfare Certificate, though Midwifery trained nurses also made visits.

This black and white photograph shows a close up view of Sister (Sr.) Mary-Ann Snyders from Royal District Nursing Service (RDNS), who is standing and cradling a recently born baby in the crook of her left arm; her supporting arm extends along the babe and her right arm is under babe. Sr. Snyders has short dark hair and is wearing a white gown over her uniform. She is smiling down at the babe, who has dark hair and is wearing a check bib over a white nightdress. To the left, voile curtains are seen over a window and in the background, part of an open patterned curtain is seen.

Barry Sutton LW 4

royal district nursing service, rdns, rdns dimc, sister mary-ann snyders

This photograph is taken in the lounge room of Mrs. McCoubrie's home in Dudley Street, Fitzroy. Sr. Fullarton is assisting her to regain her independence from being wheelchair bound to walking with a 4 prong stick.

From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to ensure they were able to live independently in their own homes was at the forefront of care given by their Trained nurses. As well as teaching and supervising the use of equipment, their Trained nurses taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. RDNS at first held workshops given by a contracted private Physiotherapist before employing their own Physiotherapist in 1975 who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family members. When required the Physiotherapist accompanied the Sister on her visit to the patient in their home.

On the left of this black and white photograph, is Mrs. McCoubrie, who is an elderly lady with white curly hair and is wearing dark rimmed glasses. She is standing on a rug between the raised footplates of a wheelchair which is behind her. She is smiling and looking at Sister Ethel Fullarton from the Royal District Nursing Service (RDNS) who is in the right of the photograph. Mrs. McCoubrie is wearing a black frock with white buttons, collar and belt. She has her right hand on the wooden handle of a 4 prong stick and her left arm is supported by. Sr. Fullarton, who is standing side-on, and is smiling at Mrs. McCoubrie. Sr. Fullarton is wearing glasses; has curly dark hair, and is wearing a white gown over her uniform. She has her right hand under, and supporting, the upper section of Mrs. McCoubrie's left arm and is grasping Mrs. McCoubrie's hand with her left hand. In the left background, part of a brick fireplace with a small vase of flowers sitting on the wooden mantelpiece can be seen. A lounge chair is seen on the far right and a patterned carpet is under the dark patterned rug.

Barry Sutton LW 1 Names.

royal district nursing service, rdns, rdns rehabilitation, sister ethel fullerton, mrs mccoubrie

The equipment items in this photograph are loaned out to Royal District Nursing Service (RDNS) patient's to use in their homes. They are returned to RDNS and sterilized, or cleaned with disinfectant, whichever is appropriate, once they are no longer required. The material items are given to patient's as required. Many of these items are made and donated by RDNS Auxiliary members.

From its inception in 1885, the two Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses and clothes as necessary. The Society was at the forefront of health care and continued to liaise with Doctors as the Society expanded. The Nurses provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. They educated their patients, and their Carers, in the curing and prevention of disease; Over the years items were given and equipment was loaned and demonstrated to patients, and if appropriate, to their family members to enable them to care for their loved ones in their homes. The Trained nurses had the rehabilitation of their patients in the forefront of their minds to ensure they were able to live as independently as possible in their own homes. As the years passed the Trained nurses changed from being called 'Nurse' to 'Sister' and the Society changed its name. In the 1970s, now with Royal patronage, and known as Royal District Nursing Service ( RDNS), they contracted a Private and then employed, a Physiotherapist who taught RDNS Sisters the correct transferring techniques, including the use of a hoist when this became available. RDNS Sisters taught and used these techniques in patient’s homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members. Each RDNS Centre had a room or shed where equipment for loan was kept, and Headquarters also kept additional equipment which could be transported to Centres as required.

This black and white photograph shows some of the equipment loaned, along with some to be given, to Royal District Nursing Service (RDNS) patients as required. Rear L-R - a white long nightdress with dark embroidery and buttons on the front and embroidery on the edge of the short sleeves. Next are two wooden bath seats; a square metal commode with lid and with its round legs extended to form handles on the left and right sides. A folded dark and white striped crocheted rug hangs over one of the handles. In the centre L-R, is a metal bed cradle, a metal 4 prong walking stick, bed pans, male urinal, stack of nappies with a white child's knitted jumper hanging over them, and a doona. In the front, L-R is a grey blanket, dark coloured bed socks, a sheepskin with a white smocked baby dress sitting on it, and a white babies nightgown on a clear plastic covered white bundle. A black mat sits under these items and a cream brick wall is in the background.

Barry Sutton LS 47

royal district nursing service, rdns, rdns equipment, rdns auxiliaries

This photograph shows an RDNS Sister doing Liaison work at a Hospital. She will pass the information given about the babe to the RDNS Domiciliary Infant and Maternal Care (DIMC) Sister who will be visiting the baby and her family in their home. Sr. Schofield is wearing the RDNS winter uniform of a blue/grey skivvie under a V neck tunic style frock made of herringbone winter material.

Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS) Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge, and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor in the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in DIMC also had their triple Infant Welfare Certificate, though double certificate Midwifery trained Sisters also visited.

On the left of this black and white photograph is Royal District Nursing Service (RDNS) Sister Margaret Schofield, who has her long dark hair drawn back, and is smiling as she looks down at a baby being held in the arms of a Hospital Sister. Sr. Schofield is wearing a light grey skivvie under a V neck dark tunic style frock. She has a pen in the V of her tunic, and has a watch hanging under the RDNS logo on its left hand side. Her left hand is resting on a white table which has baby scales with a wicker basket on it. To the right, is the Hospital Sister, who is side-on and facing Sr. Schofield. She is wearing dark rimmed glasses; has her long dark hair drawn back and is wearing a dark cardigan over her white uniform. She has her right arm under the baby with her hand on babe's right leg; her left hand is holding the baby's feet. The baby has sparse dark hair and is wearing a white patterned jacket. Part of a dark filing cabinet is on the right of the photograph and behind the Sisters is a large window, then grass, small shrubs and part of a corrugated clad building can be seen beyond.

Barry Sutton LP 43

royal district nursing service, rdns, rdns dimc, rdns uniform, sister margaret schofield

This group and RDNS Sisters are at a meeting at Fawkner Park Community Centre and are listening to the lady on the left who is pointing out information to them..

Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals and Community Centres would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS) Trained nurses (Sisters), but also for the patients of RDNS and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from Hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital. District Sisters also liaised with personnel attached to Community Centres.

This black and white photograph is of a group of two men and five ladies, three of whom are Royal District Nursing (RDNS), Sisters, sitting at a large dark wooden table which has an open folder and papers with diagrams or information on them, Notepads and pens sit in front of several. L-R is a partly hidden man who has short dark hair; wears glasses, a dark suit over a white shirt and dark tie. His left hand is up to his face. Next is another man with short dark hair who wears glasses; has a grey suit, white shirt and patterned tie. His right hand is up to his face. Next is a lady with short curled hair who is wearing a dark patterned and white edged vest over a round neck grey jumper. She is looking at, and holding a pen in her right hand poised over, a sheet of paper with columns and writing on it. Next is an RDNS Sister with collar length dark curled hair, who has her left hand up to the side of her face. Then an RDNS Sister with short straight hair. Next is a lady with her dark hair drawn back and wearing a white jumper; she has her hands up to her chin. Next, and far right, is an RDNS Sister, who has short straight blonde hair and has a pen in her right hand. Her left hand, with a dark watch at the wrist, is up to the side of her face. The group are all looking at the columned information sheet which the lady on the left is pointing out with her pen. The RDNS Sisters are wearing light grey skivvies under dark grey V neck tunic style frocks.

Barry Sutton LO 40

royal district nursing service, rdns, rdns liaison, rdns uniform

Sister Watt is an RDNS Liaison Officer and has assisted a hospital employee to transfer a patient into a car. The lady will be attended by RDNS District Sisters when she returns to her home.

Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital.

On the left of this black and white photograph is the side-on view of a lady who has short curled hair and is wearing a white hospital coat over a dark skivvie and dark slacks. She is standing against the inside of the open passenger door of a grey car and is holding the removed arm of a wheelchair in her hands. She is looking down at a lady who is sitting in the passenger seat of the car. The lady, who has short curly dark hair, has her head turned to her left and is smiling. She is wearing a grey and black patterned frock. A wheelchair is in front of the opening of the door with the seat, which has a sheepskin on it, close to the car seat and the back of the chair to its right. Sister Helen Watt of the Royal District Nursing Service (RDNS) is standing side-on behind the chair and is holding its handles; her legs are placed between its large wheels. Sr. Watt has curled dark hair and is wearing a light grey skivvie over a darker grey V neck tunic style frock. Only a small section of her face can be seen; she is smiling and looking down at the lady. In the background, part of a brick building with a white framed, open curtained window can be seen.

Barry Sutton LO 34

royal district nursing service, rdns, rdns liaison, sister helen watt

Sister Watt is an RDNS Liaison Sister and has arrived at the Community Care Centre at Southern Memorial Hospital where she works. She attends discharge meetings and visits patients who will need nursing care from RDNS when they go home. Sr. Watt is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style dress made of herringbone winter material. The RDNS logo on the car is a royal blue edged circle with the words "Royal District Nursing Service" written in white capital letters around it. The centre of the circle is divided in three with the upper and lower sections white, and the centre section royal blue with white capital letters "RDNS".

Liaison had occurred between Doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital.

On the left of this black and white photograph is Royal District Nursing Service (RDNS) Sister (Sr.) Helen Watt, who has short dark wavy hair; is smiling and is looking towards the camera. She is standing with her left hand on the bottom edge of a large white sign with a black border and capital letters. It reads, in four lines, "Community Care Centre/, Southern Memorial Hospital/, 240 Kooyong Road/, Caulfield/." Sr. Watt is wearing a light grey skivvie and a darker grey V neck tunic style frock. Her right hand is holding the solid horseshoe style handle on top of a black leather bag with the light colored letters "RDNS" in the upper centre. The sign is held up with white round poles either side. These are placed in a garden bed with low foliage and a rock border. Directly behind Sr. Watt is a grey Torana car with the RDNS logo on the upper section of the door. In the left background, behind the car, is a wooden fence and behind that a brick building with a tiled roof and a large window. In the right background, behind the sign, Is part of a brick building with part of a doorway. It has a flat roof.

Barry Sutton LO 28

royal district nursing service, rdns, rdns liaison, rdns uniform, sister helen watt

This photograph is taken in a Hospital ward and shows a meeting between a patient, an RDNS Liaison Sister; and the Hospital staff, L-R, a Doctor, a Physiotherapist, a Social Worker and an Occupational Therapist. The group are discussing with the patient the ongoing care she will require when shes goes home. The Sister. has an RDNS information leaflet open in her hands which will be given to the lady. From those present, the Sister is ready to write, on the clipboard, any information required to be passed to the RDNS District Sister to carry out the nursing care needed when the lady goes home. The Sister is wearing the RDNS winter uniform of a light blue.grey skivvie under a darker blue/grey V neck tunic style dress made from herringbone winter material.

Liaison had occurred between doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS),Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, coordinated discharge, and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital.

On the left of this black and white photograph is a Royal District Nursing Service (RDNS) Sister who is seated and has her curly dark hair head, turned to her left looking at a lady who is resting in a hospital bed. The Sister, who is wearing a light grey skivvie under a darker V neck tunic style dress, is holding an open folded page with typed writing seen, in her hands; a pen is sitting between the fingers of her right hand and a clipboard is on the bed. The elderly lady, to her right, is sitting propped up against white pillows on her hospital bed and is looking, and smiling, at the Sister. She is wearing glasses; has curly grey hair; and is wearing a light coloured nightdress. The light coloured bedclothes cover most of her body. On the right of the bed, and from its head down, L-R is:a man who is standing; he has short dark hair and is wearing a leather type jacket over a dark skivvie and plaid trousers. Next, sitting, is a lady who has short slightly waved dark hair; she is wearing a grey round neck sleeveless frock over a light coloured long sleeve blouse. Next, seated, is a male who has short dark hair and a short dark beard.He is wearing a dark grey suit jacket over a light grey shirt and patterned tie. Next, on the far right, standing, is a lady who has curly dark hair and is wearing a hospital white coat over a light coloured skivvie. A Hydronic heater is attached to the lower part of the wall behind the bed and a monkey bar is attached to the centre of the bed. Some flowers are also seen behind the bed and a drawn curtain is behind the staff on the right hand side of the photograph.

Barry Sutton LO12

royal district nursing service, rdns uniform, rdns liaison

This photograph shows Royal District Nursing Service (RDNS) Sister (Sr.) Moira Coates doing Liaison work at St. Vincent's Hospital in Melbourne. Miss C. Healy is St. Vincent's Home Care Supervisor and she and Sr. Coates are discussing plans with Miss E. Monks for the future care she requires following her discharge from hospital. Sr. Coates is wearing the RDNS uniform of a royal blue dress with white piping around the peaks of the collar. An RDNS logo is on its upper left. She is wearing a darker blue jacket.

Liaison had occurred between Doctors and the the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective patients, co-ordinated discharge and booked the first visit by the visiting RDNS Sister. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the Hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District Sisters and Doctors when patients were referred by General Practitioners and did not attend a hospital.

In the left foreground of this black and white photograph is Miss C. Healy who has collar length dark hair and is wearing a hospital uniform dark cardigan over a white blouse and dark skirt. She is sitting on a kitchen style chair and has an open folder; a pen in her right hand is poised over a white sheet of paper. She is smiling and looking to her left at Miss E. Monks who is resting in a bed in front of her. Standing to her right, and at the head of the bed, is RDNS Sister Moira Coates who has short dark hair. and is wearing a dark jacket over a dark colour dress with white piping on the collar peaks. Her identity card is clipped on the right hand pocket. She is smiling at Miss Monks and has her left hand on an RDNS leaflet which Miss Monks is holding. To her right is Miss Monk who has short dark hair and wearing a light coloured nightdress. She sitting up supported against pillows on a hospital bed which has the top section raised. She is looking at the RDNS folded leaflet; two photographs and writing can be seen on the front cover. White bedclothes cover most of Miss Monks body. Drawn curtains are seen in the left rear of the photograph and some switches and a name card are seen behind the bed.

Barry Sutton. LJ93 and names

rdns, royal district nursing service, rdns liaison, rdns uniform, sister moira coates, miss c. healy, miss e. monks

The photograph is taken in the RDNS Education Department at 448 St. Kilda Road, Melbourne. Mrs. Gerardi and Mr. J. Psaros are Telephone interpreters. Sr. E. Comb is learning, by role play, how best to communicate with people who have limited understanding of English. The other Sisters are observing the role play. One Sister is wearing the RDNS winter uniform of a dark blue cardigan over a light blue/grey skivvie and V neck tunic style frock made of blue/grey herringbone winter material. Sr. Perillo is wearing the RDNS summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock. The RDNS logo is seen on the upper left of the frock. The other uniforms are a royal blue dress with white piping around collars.

The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. The RDNS Trained nurses (Sisters) visited patients from many different cultural backgrounds, and Education was given to their Sisters to assist them when speaking with the patients and giving them care. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.

In the left foreground of this black and white photograph is a side-on view of Mrs. G, Gerardi, who is wearing glasses; has dark curly hair, and is wearing a black and grey vertically striped dress. She is sitting on a chair in front of a group of RDNS Sisters sitting at small rectangular tables which are butted together. Slightly to her left rear sits Mr. J. Psaros, who has short thick dark hair; is wearing a black leather type jacket, black trousers, white shirt and dark tie. He is looking at Mrs. Gerardi. To his left sits Sister (Sr.) E. Comb, who has short dark hair and is wearing a uniform dark cardigan over a dark dress with white piping on the collar. She is facing the group and looking at Mrs. Gerardi. In the centre of the photograph is the first of the seven RDNS Sisters at tables, five in the front, and two partly hidden in the row behind; they are also looking at Mrs. Gerardi. This Sister has curly dark hair and is wearing day clothes of dark slacks and a dark top, with white circle logo, over a white blouse the peaks of which are seen. The Sister. to her right has short straight dark hair and is wearing a dark cardigan over a light grey skivvie and V neck tunic style frock. The name on a card in front of her is indistinguishable, but 'Footscray' is seen. The next, Sr. Arrisa Perillo, has short curly dark hair and is wearing a short sleeve white blouse under a dark V neck tunic style dress. Her name and the word 'Footscray' is on a card in front of her. The next Sr. has short blonde curly hair and is wearing a dark cardigan over a dark dress with white piping around the peaks of the collar. The next the Sister is partly hidden. Her name is written on a card in front of her, this is indistinguishable except for the word 'Caulfield'. A large dark handbag with light colour motif on it, sits on the light colour carpet under the front section of Sr. Perillo's table. In the background are five windows with open Venetian blinds.

Barry Sutton. Quote LJ60

rdns education, royal district nursing service, rdns, telephone interpreters, mrs g. gerardi, mr j. psaros, sister e. comb, sister perillo

The Matron and Sisters in this photograph worked in the Melbourne District Nursing Society After Care Home, (later called Hospital) full time and administered nursing care to patients who ranged in age from babes to adults. The Society also had a District Nursing division and these Sisters only worked in the community giving nursing care to patients in their homes.

The Melbourne District Nursing 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 in 1926, (from 1934 called After-Care Hospital), for these patients, and patients from Hospitals. Many children were nursed there, some long term during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own 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 trained Almoner was employed by the Society in 1934, doing a great deal of work with Midwifery patients, but she resigned after twelve months due to the amount of work. Due to a lack of trained Almoners, the Society employed a Social Service Officer at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions.

A black and white photograph of Matron and twelve Trained nurses (Sisters) standing at the front entrance of the Melbourne District Nursing Society After Care Home, In the front of the portico is the Matron and four Sisters. Matron is dressed in a white long uniform dress and white veil over her short dark hair, and is wearing white stockings and white shores. To her right are four Sisters. Behind them are five Sisters, one standing between the left pair of round columns of the portico and the others to her right finishing just before the second set of columns. Two Sisters are to the left of the left hand column in front of the brick wall of the building. A short brick wall runs from the column to the building and hides the lower half of these Sisters. All the Sisters are dressed with white long aprons with white belts, which are covering their uniforms, only their dark grey sleeves and white collars can be seen. They are wearing white veils covering most of their short dark hair, grey stockings and black shoes. At the top of the portico can be seen the words 'District Nursing Society'. Part of the two story brick building can be seen behind the group; two long windows are visible on the upper and lower sections. To the right of the building some shrubs and a tree can be seen.

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The District nurses are leaving from their Melbourne District Nursing Society (MDNS) Nurses Home, which was situated at 39 Victoria Parade, Collingwood. Their MDNS uniform dresses and coats depicted are grey, and a red Maltese cross is attached to the centre of the headband on their grey brimmed hats. The Sisters will visit MDNS patients and provide nursing care to them in their homes.

From its founding in 1885 until 1891 the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked from their own homes which were located in the vicinity of their areas (districts). In November 1891 MDNS was able to rent a two story terraced house at 66 Cardigan Street, Carlton, at £65 a year, which contained accommodation for three Nurses and one pupil nurse as well as being used as their Headquarters. They left from their Nurses Home each morning and returned at the end of their shift to write up their book work before retiring for the day. Three years later they moved into a larger terraced house at 49 Drummond Street Carlton which was rented at ‘a very moderate rental’. There was a Board room, apartments for the Nurses and pupil nurse, a large dispensary which patients could attend each evening to have prescriptions signed and bottles refilled with ‘homely remedies’ and elixirs, which were administered for e.g. to Consumptive cases. Doctor’s prescriptions were filled at the Pharmacy. Cupboards containing donated blankets and bedclothes for needy patients were kept in this room, and it was here where the Nurses kept their equipment and nursing bags which were refilled at the end of each shift ready for any emergency, and for the next day. A list of Doctors the Nurses could call was kept by the telephone. The home also had a kitchen where nourishing soup was made and distributed twice a week to the needy. Milk was also distributed when needed. In 1902 they moved into rented premises at 188 Leicester Street, Carlton and two years later, in 1904, to premises at 5 Royal Terrace, Nicholson Street, Fitzroy. They remained there for ten years and an Auction of furniture was held before their next move giving an idea of some of the contents: - Carpets, linoleum, walnut and oak sideboards, dining tables, walnut dining suite, Vienna chairs, walnut bedroom suite, cedar wardrobes, chests of drawers, duchess chests, bedsteads and bedding and general furnishings were for sale. In June 1914 at last the Society had sufficient funding to purchase their own terraced premises, ‘Floraston’ 39 Victoria Parade, Collingwood which was their Headquarters and Nurses Home. In 1926 the After-Care Home for recovering patients, (later called After-Care Hospital) was built by the Society next door, at 45 Victoria Parade; the District nurses continued to live at No. 39. In November 1953 the District Nursing Division moved into their new Headquarters and Nurses Home at 452 St. Kilda Road, Melbourne. In 1957 the two divisions legally separated and the District division became the Melbourne District Nursing Service. As District expanded, and now with outlying districts to service, and with a fleet of District cars, their trained nurses (Sisters) lived in their own homes and visited their closest District Centre each morning to collect their work for the day, and returned at the end of their shift to do their administrative work.

A small black and white photograph showing a side on view of Matron Lydia Shaw who is smiling. She is standing outside the Nurses Home of the Melbourne District Nursing Society (MDNS), and is wearing a white long sleeved belted uniform dress, white stockings, shoes, and a veil over her short dark hair.. She is standing to the left, outside the front gate of the building watching a group of district nurses about to leave the Home. The group are on a path behind the four trained nurses (Sisters) most visible who are dressed in grey belted long sleeved coats which have lapels. They are wearing grey brimmed hats with a Maltese cross in the centre, flesh coloured stockings and black shoes. The first two Sisters are side by side and have just stepped onto the pavement; the one to the right is smiling and slightly turned toward Matron Shaw. Under their coats, both these Sisters are wearing grey scarves around their necks. There is a square concrete column behind Matron Shaw, and another to the right of the nurses. From the right column three metal vertical fence bars are seen with shrubs behind them. Part of a building and doorway can be seen behind the nurses. A brick wall and path is seen on the far left of the photograph.

The date 1934 as well as the name of Matron Shaw, Sister Jones and Sister Tupper were hand written on the back of the photograph

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