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I didn't put everything to 50%+ after all, and instead customised the pricing scheme. Treatments are at 60%, diagnoses range from 0% to 30%, and I dropped the extras like food down to 0% from 10% to 20%. With VIP visits and emergencies, I manage to stay at a good reputation. But it's so slow going. I've gone back to Mitton for now just to do research.
I'm not sure exactly how it works but I've read that some traits like 'nasty' can affect staff and patient happiness because that member of staff will spread negative vibes wherever they go ( like that smelly hippie, Neil Pye ;) ) Since then I've never hired anyone with a negative trait and it seems to work with keeping up moral.
Hiring untrained staff with positive traits and no negative traits can take a long time because they rarely come up as a candidate but it's worth the patience as it really helps keep the monthly salary hit as low as possible and a good atmos among patients and staff. Something I noticed only after starting the Croquembouche level is you can quicksave the game a few days before the new candidate list appears so if there is no-one suitable you can reload and it will be a different candidate list. Maybe too cheaty for some but when you have someone with a blank slate it's a lot easier to specialise them. Only hiring untrained staff has also made me a lot more careful about expanding and only buying rooms when the illnesses list shows they are needed.
I like wards, they're my cash cows, they're useful because they do both diagnostic and treatment. Don't build too quickly at first and get a training room up and running. Use student doctors and train them in straight GP (and later, surgery).
One trick you can do for any scenario once you have research is jump back to a previous hospital with a big research room, get the $$ research almost to the tipping point, then jump back. The research carries over and you'll get the money in no time.
Might keep prices up for a while just in an attempt to keep the amount of patients down at first. I stress out if I feel too swamped and I don't like having to give in and send lots of people home.
I might try the cash research trick if it gets too annoying since I have two 'Research V' docs in Mitton now.
Thank you for the tips. :)
you do need a couple of treatments to bring in cash, first time I played Smogley I automatically built a pharmacy without realising I didn't need one so had to restart.
I'd build a couple of GP offices, Fluid Analysis and a Ward at the start, maybe add Psychiatry as you will get Mock Star patients. I take out the 150,000 loans and build a training room costing about 100,000 with 3 desks, this means you can train people fairly quickly.
Ideally you want 3 GP's, 2-3 diag nurses and 2 Ward Management nurses, get a psychiatrist or two if a good one shows up. try and get all of these to 3 skills, I will sometimes take a skilled doctor and use them just for training if they have a good range of skills
regarding treatment, I keep a tally chart of illnesses that I don't have rooms for, once it hits 5 I build that room if I can afford it, it can be annoying being asked for new room, you build it but only see one patient with that illness.
Unless you get a really good candidate for a Surgeon, I wouldn't worry about Surgery until you are at least 1 start, more liking nearer 2. Surgery makes good money but is slow, you can end up with huge queues and patients with low health.
Thank you for that rundown. I was making the mistake of doing my usual with diagnostics and going for General Diagnosis and Cardiogram. I'll go for Fluid Analysis and X-Ray this time. It makes much more sense. ^_^
Train them in two rounds of whatever you need at that point -- you'll tick your train-staff box for the star, and have cheap well-trained doctors for Surgery or whatever.
Assigning untrained nurses to Surgery can work similarly -- nurses qualifications mean nothing to Surgery success, but they gain experience. Please note that this method is only effective with untrained hires -- it works with higher-qualified staff but takes too long getting the later qualification slots.
I've recently been trying doctor only diagnosis via MegaScan, Xray with Psychiatry ( I do have nurses for a ward) as a few people on the reddit page were saying it works well.
I'm still not convinced but it does make training less of an issue
I'm pretty sure it was my switch to choosing Fluid Analysis first before moving onto the X-Ray and M.E.G.A. Scanner that saved me. That and the fact I kept sending patients who needed new rooms home until I was able to build 2 Surgeries, which was soon after the first patients with Spinal Bap started showing up.
Once those 2 Surgeries were up and running, the hospital started to run itself. The 'fancier' diagnostics and the 3 G.P.'s offices* in the first building kept the cash flow going in between surgeries. I plonked down the third Surgery, then started going through my rooms, adding in extra items (I made sure only to put in what was necessary when I first built them). I trained a couple of additional doctors in Surgery and then was able to take turns training them up. I'd already hit the 1 Star mark before I started putting down Nurse-run treatment rooms and their other diagnostic rooms. I probably should have gone with another X-Ray or M.E.G.A Scanner instead, but I did have a few nurses floating about who I wanted to keep busy. Traffic to the Ward had dropped.
The Laxative Drinks Machine and the Absorbent Snack Machine were pretty useful. They helped out my patients who were waiting for Surgery. That meant the third Surgery room wasn't instantly necessary to cope with the number of patients showing up, though I did still micromanage the queues for a bit.
I didn't necessarily keep to only hiring very inexperienced staff, but I still didn't have too much of an issue in training them to be capable enough. Also, I didn't change the hospital's prices, but I did avoid giving higher-than-requested wages until staff were unhappy. Waiting for my staff with the perfect set of traits or reloading every time would have irritated me far too much. I would often settle for someone slightly undesirable instead and figure out how to offset that, or I'd just wait it out until the next staff shuffle.
Walkthroughs online that I eventually looked up said to do this, that, and the next thing, but they all seemed to have a completely different strategy. In the end, I didn't have to min-max to succeed. I was able to keep my rooms looking normal and didn't need to pack them full of Servers or Encyclopedia bookcases or anything else. I didn't have to sacrifice my joy of building in an aesthetically pleasing way to win (and to then achieve the second Star without even trying). Yes, it would have been faster if I gave up on that side of it, but I had fun watching the hospital move forward once I was confident it would work out. If I'd forced myself to pack rooms full of buffing items or build the rooms huge, I would have been frustrated until I was able to edit them back to something that looked tidy.
*I eventually built a fourth G.P's office, but by that time I had been able to buy other buildings and so could reorganise my hospital.