Royal District Nursing Service

From Wikipedia, the free encyclopedia

Royal District Nursing Service
Type Charity
Founded 1885
Headquarters Melbourne, Australia
Industry Nursing/Healthcare
Website http://www.rdns.com.au

Royal District Nursing Service (RDNS) is a charity in Australia who provide home nursing care to people throughout the Melbourne Metropolitan and Mornington Peninsula regions. Founded in 1885, the organisation (formerly known as Melbourne District Nursing Society) began with a single nurse who trekked on foot to provide people with nursing care in the home.[1]

Contents

[edit] Organisation

RDNS’ official vision statement is "To be the provider of choice for home and community nursing and healthcare services."[2]

[edit] Organisational structure

Operating from 20 centres throughout Melbourne, RDNS is currently the largest and oldest provider of home nursing services in Australia covering the areas of:

  • Altona
  • Berwick
  • Box Hill
  • Camberwell
  • Caulfield
  • Diamond Valley
  • Essendon
  • Frankston
  • Hartwell
  • Heidelberg
  • Kew
  • Knox
  • Lilydale
  • Moreland
  • Moorabbin
  • Rosebud
  • Springvale
  • Sunshine
  • Yarra.[3]

The RDNS organisation comprises a Board of Directors, a Chief Executive Officer and other department functions including:

  • Client Services
  • Information Services
  • Assets Management
  • Marketing & Planning
  • Human Resources
  • Helen Macpherson Smith Institute of Community Health.

[edit] Fast facts

Over 1,250 staff work at RDNS, of which 1,000 are district nurses. RDNS nurses make over 1.5 million client visits, deliver over 550,000 hours of direct care and travel over 8.2 million kilometres to provide home based nursing care to more than 30,000 clients each year.[4] The organisation also aims to help Melbourne's homeless via its Homeless Person's Program. The program provides "...holistic healthcare to people experiencing homelessness or at risk of becoming homeless,"[5] and also provides a private nursing service through RALLY Healthcare.[6]

As a result of the mobile nature of RDNS’ business, the number of clients and the geographical spread of its workforce, RDNS nurses use mobile computers that serve them as a vital communications tool. The devices use intuitive interfaces, wireless connectivity, applications that integrate with nurses’ work priorities and the ability to access and transfer real-time data. The mobile computers have significantly reduce the need for paper-based administration, enabling RDNS nurses to spend more time on nursing practice.[7]

[edit] History

The Melbourne District Nursing Society began in 1885 with a single nurse visiting the homes of the sick and poor to provide compassionate nursing care. With no other nursing service of its kind, support for the newfound form of healthcare grew. As a result, by 1892, more staff were employed to cope with demands and the organisation implemented its own midwifery service.[8]

By 1906, the organisation had extended its healthcare service to the outer suburbs of Melbourne and employed the use of bicycles to efficiently travel around the city. This form of transportation enabled district nurses to reach more clients, more quickly over a wider geographical area.[8]

The Great War saw the onset of 1919 influenza epidemic and placed increasing pressure on the organisation to service more and more clientele. To expedite the amount of clients treated, the organisation invested in its first motor car, which would later become an integral identifier of the modern-day RDNS brand.[8]

Following the opening of an aftercare hospital in 1926, the organisation extended its care to mothers and infants by opening Melbourne's first "Well baby clinic", which later became a motivating factor in the development of Victoria's first family planning clinic.[8]

Like the Great War, World War II increased the demand for services and the organisation's type of clientele soon became anyone who had a genuine nursing need regardless of age, condition or circumstance. With the expanded need for services, the organisation decentralised its business by opening its first suburban centre in Camberwell.[9]

In the 1980s, RDNS began to provide post-acute care treatments for HIV/AIDS, cystic fibrosis and other chronic treatments, care which had previously been confined to hospitals but could now be now be administered in the home.[8][1]

Demand for RDNS’ serviced continued to grow throughout the 1990s and beyond. The year of 2007 had seen the largest number of home nursing visits ever provided since the organisation began in 1885. Reasons for this include shorter hospital patient stays, increased day surgery procedures, better technology, an ageing population and a preference by people to receive nursing care at home. To cope with this demand, RDNS operates 24 hours a day, 365 days a year.[10][8]

[edit] Service today

RDNS provides a 24 hour home nursing and healthcare service to the people of Greater Melbourne. The organisation aims to improve the health conditions of clients with tailored nursing care, whilst enabling them to remain in the comfort and privacy of their own home. RDNS provides the following nursing and healthcare services:[11]

In 1998, RDNS launched its own private wing of service called RALLY Healthcare. RALLY Healthcare provide nursing care from any location, whether it be an aged care facility, a workplace or even a school. It was devised as a way of responding to the vastly changing heathcare needs of today's Melbourne Community. [12]

[edit] Homeless Persons Program

RDNS’ Homeless Persons Program (HPP) aims to provides holistic healthcare to Melbourne's homeless community. Staff who work in this program are specialised in working with homeless and marginalised people. Primarily, RDNS nurses who work with the homeless community help these groups by:

  • Being a point of contact at agencies visited by people experience homelessness
  • Visiting rooming houses, crisis accommodation, parks and city streets
  • Providing, executing and conducting: health and social assessments, professional nursing care, counselling support, first aid, medication management, follow up meetings
  • Maintaining health and prevent illness to individuals experiencing homelessness
  • Educating health professionals and community groups about homelessness
  • Facilitating collaborative programs between homeless people and other health services. [13]

HPP's annual Where the Heart is community festival celebrates the skills and attributes of the homeless and marginalised people in the Melbourne community. [14] The festival is run by volunteers and includes a free lunch, live music, arts, youth activities and a grooming service for attendees. [14]

[edit] Cultural diversity

RDNS upholds a commitment to cultural diversity. The organisation's client base covers 148 different countries and speaks as many as 25 different languages. [15]

To meet the communication and healthcare needs of such a diverse group, RDNS has 25 multicultural resource staff in operation. [15]

The staff, who mostly consist of multidisciplinary nurses, uphold RDNS’ commitment to meet its culturally diverse market by developing 19 workplace language manuals and kits, as well as developing client consent forms in other languages.[15]

[edit] Mobile Computing

In 1994, RDNS commenced its Strategic Information Systems Plan (SISP). The mobile, real-time computerised communications system has enabled RDNS nurses to communicate more effectively with their respective centres and the RDNS organisation by improving data integrity, information storage and record keeping efficiency. The Mobile Computer Project has also reduced documentation preparation thereby increasing and improving the care provided to thousands of people each year.[16]

RDNS has received position recognition for its Mobile Computer Project. In 2003, the Celebrating Melbourne Awards awarded RDNS Digital Innovation recognition[16] and in 2007, RDNS becaome a State Category Winner for Information Technology for its "Mobile Computer Device Refresh Programme" project at the AIPM Victorian Chapter Awards.[17]

[edit] References

  1. ^ a b RDNS: What we do. Retrieved on 2008-01-11.
  2. ^ RDNS: Customer Service Commitment. Retrieved on 2008-01-11.
  3. ^ RDNS Annual Report 2007, p. 35.
  4. ^ RDNS Annual Report 2007, pp. 4&5
  5. ^ RDNS Annual Report 2006, p. 5.
  6. ^ http://www.rdns.com.au, Retrieved 7 January, 2008.
  7. ^ RDNS Annual Report 2007, p. 16.
  8. ^ a b c d e f RDNS: How we began. Retrieved on 2008-01-10.
  9. ^ RDNS Annual Report 2005, p. 8.
  10. ^ RDNS Annual Report 2007.
  11. ^ RDNS: Services. Retrieved on 2008-01-11.
  12. ^ RALLY Heatlhcare - Your Nursing Care is our priority, service brochure, date unknown,
  13. ^ http://www.rdns.com.au, Retrieved 7 March 2008.
  14. ^ a b Cairns, Lyndal, 24 April 2006, Gardens home for a day, Melbourne Leader, p. 10.
  15. ^ a b c Gatehouse, Di, (2006), Overcoming the language barriers, The Age, pg. unknown,
  16. ^ a b RDNS Fact Sheet - Mobile Computer Project, June 2006, Retrieved 7 March 2008.
  17. ^ Australian Institute of Project Management, Retrieved 17 March 2008.