Some Ideas for future patches!

[lembos-hauser]

I already enjoy playing this game, but there are still some things, that are a bit annoying. So I created this list as an inspiration for future patches:

1. The camera rotation is a nice gimmick, but to fix all the wall styles is a pain in the ♥♥♥. maybe implement a tool which paints just the inside a/o outside walls. I am aware, that atm the squared wall tool paints just the inside, but still
   
2. Should be possible to cancel even orange procedures. In an early stage it is very annoying to loose patients, just because they wait the whole night for a CT scan (which I only run at daytime) and I was unable to cancel it. Same with needles examinations: sometimes the AI detects the diagnosis already to 100% but still does urin and blood samples - once it is orange, I cannot cancel it - which should be changed.
   
3. Pathfinding is still a thing - there are already tons of complaints about this, but here just a small outline: People still walk to the "closest" toilet or whatever according to the coordinates, no matter how many steps they really have to walk - please optimize.
   
4. Collapsing patients are a bit unrealistic: they collapse right next to the nurse at the reception and she does not care at all. Instead she should at least approach and do basic life support until the brave hero runs from ICU or TC. In general there should be a role assignable to take care of emergencies IN the hospital.
   
5. Shiftchanges are badly designed. There is a good chance, that the whole hospital is not working for 1 or 2 hours at 8pm (and 7am), because everybody is leaving is workplace and the new guys just chill on their way to work. Maybe a overlapping shift design for the start and longterm developement a complete HR system, where I have to design shiftplans on my own, assing doctors, rotate through day and night shifts, coordinate holidays and so on. In this future HR panel you should be able to assign staff roles quickly and uncomplicated, that it is easy to oragnize your surgery teams etc.
   
6. Changing department of a patient is still buggy. For instance: my patient collapsed and is on ICU for days and still doesnt get his surgery - the patients on surgery ward did. Or: my patient is a bit annoyed of waiting time so I assign him quickly to a special deparment, here he sits down immediatly in the doctors office but nothing happens - I have to assign him back to emergency, where all my suggestes procedures and treatments get applied. Or: Downgrading is still not possible: what if the monitoring ward is full, but the patient is in good condition now so I want to put him in normal ward? not possible...
   
7. For now, at least for me, it is really hard and a long process, to make money with the hospital. Even if I get 5 stars, treat all the daily patients and hire just the necessary staff, the profit is so small, that opening costy ICU/TC/OR is a big thing - plus the staff then. Maybe you should overthink the bonuses and profit system. The "build free" mode is a nice thing, but even there it is hard to write black numbers...
   
8. Hiring staff is too expensive. 2.500$ for just 4 new candidates plus 1.000$ for the secret/hidden traits? Sometimes you need over 10.000$ to find one simple doctor, who has an acceptable level of skill and is NOT an alcoholic, a depressive or mean guy. Maybe you should think of a complete new way to find staff: The player can adjust the money they want to spend - according to this you the more or less skilled suggestions. Then you can "talk" with them, find out the traits and huggle about the salary (includes the HR I mentioned above). This is longterm of course, but for the beginning maybe you should decrease the amount of traits in general a bit - or at least balance it. Two doctors, same skill, one guy has a long way to work, is an alcoholic and is a mean guy, the other one is a good boss, is academic and tough. Both same salary.
   
9. Transport of patients is still buggy. The nurse picks up the stretcher from the other side of the hospital, goes back to the ward, picks up the patient and brings him to another side of the hospital from where she has to bring the stretcher back to the other side. Why doesnt she use the stretcher provided on her own ward? In general I think the system of using nurses to transport patients is not great. Nurses are expensive and skilled workers, I dont want to create 5 workstations with PC just because I need taxis. I would suggest a new "department": the patients transport department - maybe included in an new janitor deparment (as I will describe below). So in this transport department you hire cheaper staff, their job is just to bring the patient from a to b, like in modern hospitals.
   
10. Janitors... why do I need to assign in each department a janitor with his own small closet. And why do I still have to assing smaller corridors, just because there is no chance that two janitors will clean the same "room" - this makes the game compliated and ugly. Maybe you should create a new department: the janitors deparment. I still have to build closets, but then I assignt areas, where which guy has to clean - like an many many other games. Once that area is clean, they help somewhere else. And please make it possible that I can assign my hallway as ONE corridor and after shift chance five janitors clean that area at once. The same here: in the future HR console you can desing specific shifts that for example durings shift changes of the other staff you have more janitors on duty.
    
11. Waiting areas are nice, but life would be easier if there would be a waiting room for stretchers aswell. Especailly at the CT or X-Ray: a room with one nurse assigned - she monitors the waiting people, brings them from the waiting room to the examination and back. But the transportation guys bring an adjustable number of patients from all over the hospital to this "buffer room", that the radiologiy runs smooth without annoying empty slots - like in a real hospital. (notice that I said adjustable: In this way I can decide: do I want 5 patients here on waiting? therefore I need way more stretchers in the hospital, but the X ray runs smooth - but on the other hand those patients just wait, and cannot get other procedures atm. So maybe I change the number to just 3 patients?)
    
12. For emergencies I would like to have a "force it" button . As a player I should be able to claim specific procedures and skip any line for them. Especially if someone is bleeding, I want to be able to say: surgery, NOW!
    
13. for long treatments of deseases there should be an approx. discharge time. Maybe even as a hotkey to get "time on ward left" clocks over every patient in your department. In this case you are actually able to plan, of you fill up your ward or if you have to safe beds. Maybe implement a button to "discharge early" - somethin in between send the patient home untreated and send him home healthy. Perhaps with a small penalty on the money. E.g. my pancreatitis patient is on my ICU for two full days now, and idk when he leaves his bed. But I would like to know, then otherwise I might build more beds.
    
14. I think, the ultrasound room should be a shared room aswell. no need to build it in every single department - maybe include it in the dep. of radiology? some hospitals do it that way. And: If I need an ultrasound procedure for a patient but I dont have an ultrasound room in one of my surgery or internal deparments, why cant I claim this procedure and they just use the machine in the TC room? The point is: in general it would be more realistic, if the hospital would share some tools - especially the expensive ones should be used by all doctors - would safe money in the early stages of a game.
    
15. Sending a patient to another hospital shouldnt be bad. some houses are smaller and cannot treat everything, so it is their duty to send them away. For now, it just ruins the reputation, which causes even less patients the next day, which causes a lack of income, which makes it even harder to buy and build the structures needed to treat this one guy who got sent to another hospital by my caring doctors and caused this misery.
    
16. buildings or areas to think of when adding content: Cafe for patients (better food and drinks; income); Cantina for staff (better food and drinks, income, social need); Chapel for Patients and Staff (if someone dies); Visiting area for wards where patients gets familiy visits (social need, reputation); Tec Support Room which fixes broken equipment and maintains the running (complete new content); Cooling Room to store died patients till they get picked up by undertakers. Helipad (more severe cases than the ambulance; income, reputation)
    
17. Pleeease implement an education system. I want to hire small/cheap doctors and send them to training programs on a regular basis to make them better. Nothing more to say about that. (If you include the HR and the new hiring mechanics, there is a whole new way to play: instead of looking for highly qualified docs with great traits, I could look for just one good boss and then many beginners, train them on my own). Maybe even with students to get some extra money, but need more staff to take care of them - after a while I can contract one of them as a cheap but slightly more qualified guy, because he studied in my hospital and liked the atmossphere.
    
18. Also long term goal: science. Should be its own department and own doctors assigend (or lent by other departments) - here I could imagine to gain money and maybe bonusses like more effecient antibiotics, so the patients are treated faster. You could start with random boni and mali, but in the end there should be a kind of a teq tree.

Thats it for now. I know, this list is not complete, but whoever answers, please quote the idea to comment by the number of this list - makes it easier for everyone!

PS: Sorry for my bad english.

[fzoli77]

This is a good list.

[TokMor]

I agree with almost all these suggestions.

I would add it would be great to have something like an "on call" room for techs, especially for the night shift. I don't have enough volume to justify a full radiology staff, but it would be nice to have 1-1 employees be able to run whatever machines were needed by hospital patients. Similarly it would be great to have the sonography, cadigraphy and those types of rooms be reassigned to radiology department so that they can be shared by all departments and also shared by headcount through the on call room.

I mainly disagree with making recruiting cheaper. I'm all for additional options for having a more targeted search, but finding the right person for the job with perfect attributes shouldn't be easy.

[mrgeorgeallison]

The janitors work pretty much how they do in real hospitals, I would suggest a general facilities department though to employ janitors to clean areas that don't really belong to other departments, like main entrances and such.

[iancw]

I love the idea of a patient transport department.

Also, I agree that ultrasound should be treated like radiology. In my country, it's all lumped together as 'medical imaging'.

[EndlessSauron]

I like the idea of an administration department, include HR, Janitorial, Maintenance and such would over the entire hospital

[Johnny]

and "increase the limit of patients i can control"...... and "all patients controlled by player by default" option

[EndlessSauron]

@Johnny, thats a terrible idea, just add the ability to toggle it on or off, not sure about you but i can't control 300 patients at the same time. when you have an efficient hospital itll run its self.

[roman.oxymoron]

Noted ... thanks for the feedback.

[$ini$ter-NL]

Originally posted by fzoli77:

This is a good list.

[lembos-hauser]

Originally posted by Endless:

@Johnny, thats a terrible idea, just add the ability to toggle it on or off, not sure about you but i can't control 300 patients at the same time. when you have an efficient hospital itll run its self.

Guess he just wants a button for that - in the beginning. I pretty sure he doesnt want to take care of 300 patients.

[Johnny]

an on off option, for controlling patients! an option maybe to see what patient is being controlled by me and which ones not. i dont mind the AI taking over little cases n stuff, but i want the big ones, the ones that need surgery n stuff. kinda like a DR House thing

[PerfectKid]

I like the idea of a training or teaching dept like you would get in a college hospital so Im not waiting weeks for my intern just to get a bit of skill, maybe a thing where a higher level doctor can mentor them or a training room they can go to.


also I agree where the nurse goes all the way to the otherside of the hospital to use a stretcher and not even use the one in the nurses station.

Id also like to see a trauma station just for collaspses as my nurses or doctors do nothing but a tech from the stat lab rushes out to deal with it??? why???

[Shizette]

I like the idea of a discharge time - but not that it would show over the patients head. I don't want my view of the hospital cluttered. A work around could be that it shows if you hover your mouse over the patient. Or show it on their card.

I would love a hospital cafeteria! And, dedicated patient transfer teams.

How about adding Obstetrics, Labor and Delivery, Neonatal ICU, and Pediatrics wards? Thought I don't actually want to hear those babies cry.

Maintenance Dept sounds good but equipment breaking down too often makes it frustrating will kill the fun for me.

For myself, I don't want an HR dept or any of those. I do like the idea of being able to send employees for additional training to up their skills.

Absolutely need a solution to collapsed patients. One of mine passed out in the bathroom and it took an hour for someone to find them. Meanwhile, I've paused the game to hunt down a way to alert someone to go get her. It was disheartening when I did not find a solution and just had to hope they didn't die.

Lastly, can we please have wall mounted TV's for all hospitalization wards? And maybe some carpeting options?

[EndlessSauron]

I like the idea of training, a way to remove bad traits and add good ones, but that costs time and money. Also the devs wont add anything in relation to children in this game. So hope for someone to add that department via a mod or make one yourself, but i agree id like that also.

[iancw]

Originally posted by PerfectKid:

Id also like to see a trauma station just for collaspses as my nurses or doctors do nothing but a tech from the stat lab rushes out to deal with it??? why???

All the collapses in my hospital are usually dealt with from the lab too. I think it's because it finds the closed person who isn't 'reserved' for a task. I run a busy hospital, so this usually rules out doctors and nurses who will give priority to prescribing 'rest' to a patient over someone having heart failure on the corridor floor.

Originally posted by Shizette:

How about adding Obstetrics, Labor and Delivery, Neonatal ICU, and Pediatrics wards? Thought I don't actually want to hear those babies cry.

Children and pediatrics have been repeatedly ruled out by the developers as they don't want dead kids or babies. I play this game for fun, I don't want neonatal heart and organ failure.