Getting ambulances without working EM hospitalization

[Evard]

So currently the recommended way to earn money is to go all clinics first and then transfer all the departments to hospitalization at the same time (which requires insane amount of money and just idle waiting). One by one opening is just not really a viable option, if you have all the clinics, because the game atm goes crazy when you open the emergency department hospitalization (and not the specialized deps), the observation rooms get flooded with patients from all the departments (even the ones you don't have hospitalization working yet). All the patients who were very capable of walking before opening it, are now idling in obs rooms and transfering them around to basic x-rays etc just takes so much more time and effort. This problem occurs because once the game decids to put someone to observation you can't take them off it and then you require bed spots for even just x-rays and then starts the endless barrage of hospitalization unavailable -messages.

So easy way to go around this problem and still get the trauma centers to work and get the ambulance patients from the different departments is to just not finish the whole emergency hospitalization eg don't build observation rooms (so the only "red" thing in the requirements, on the right hand side on management mode, is the obs room). You can still hire the on-call docs and nurses and they keep on treating the trauma patients and then send them off to their designated departments.

[Delta-9]

I havent tried yet. I have the same issue. I have a fully ready TC and ICU waiting. But, it just seems to send the game into chaos, if I open them. I havent bought the ambulance yet, even though I can. And, the dept's were asking for one, even before I built the TC and ICU...I'll let ya know, here in a min. I have the cash, and the experiment waiting...lol

[Evard]

I have the current sandbox as so:

All the clinics working. I built ER (includes trauma), cardio, internal, and ortho hospitalization ready but not staffed. Then I just opened cardio and bought an ambulance to see what happens. The paramedic brings the patient to trauma, i just hired a doc and a nurse for the ER on-call rooms and voilá it worked, even tho the ER hospitalization is not working.

[Delta-9]

When you hired those staff, it makes the dept "work". But, if you got it working, watch and see if you're not also going to have to get ICU up and going...*Dramatic music playing*

[Evard]

Leave something out. I have built all the observation rooms BUT i have removed them in the management mode with the remove rooms -tool. So everything else is in order but I have just not designated the built up rooms as observation rooms. So on the right hand side panel (hospitalization) it shows everything else in green BUT the obs room

[Delta-9]

Awesome. Glad you found that out. But, Im pretty sure you're going to start need ICU now.

[Evard]

https://steamcommunity.com/sharedfiles/filedetails/?id=1560591154

[Delta-9]

Yeah..Need observation. Have you had any TC patients yet. If so, NICE! They got transfered to another dept. I'll have to try that out.

[Evard]

If you want the other departments to work and get their designated TC patients you don't need obs room. This is to avoid the normal clinics to send the patients in masses to the obs rooms. Yeah I have ortho, internal and cardio TC patients flowing in

[Delta-9]

Awesome!
I better get some more reg. beds in a couple other depts first.

[Evard]

https://steamcommunity.com/sharedfiles/filedetails/?id=1560601663


There you can see the trauma patients coming in even tho the department says it's not functional yet.

[Delta-9]

Great! But, how quick to they get trafered to another dept?

[Oceansize]

I opened all clinics. Was making good money, everything moving smoothly, no unexplainable jamups. Easily treating over 60 patients per day.

Then I opened hospitalization for Cardiology only (still no hospital in Emergency even), things still running smoothly! (key: I made sure my surgery staff had Diagnosis unchecked so they have no excuse for not being ready for surgery at any time)

So the next question: continue opening hospitalization piecemeal for the smaller departments, never biting off more than I can chew? Or open Emergency hospitalization so I can start receiving ambulances?

Well I was at the point where I was really anxious to start receiving ambulances, so I just opened TC. I wasn't sure if I could open TC without also opening Observation, so I opened Observation too. I had to quit for the night so I don't know how this is going to go, but I'm nervous.

Glad I saw this post. If my hospital starts going sideways now that I've opened hospitalization in Emergency, I will shut down the Observation side but keep TC open so I can get the ambulances, but hopefully without all the jamups.

The OP makes a good point that opening Observation now means a lot of people are on stretchers who would have been fine staying on their feet. Of course the benefit of this (in both the game and RL) is this frees up the Clinic doctor(s) to see more patients because they're scooting patients out of the clinic office faster. I'm being sent 80 patients per day but only able to treat about 62 of them before opening Observation. Now that Observation is open I expect to be able to treat the rest too. Assuming of course, that opening Observation isn't about to make everything go Pete Tong.

[Delta-9]

Yeah, this post has came in handy..lol

[Oceansize]

Originally posted by Delta-9:

Yeah, this post has came in handy..lol

Hey Delta-9 your handle wouldn't have anything to do with 510 would it?

[Delta-9]

Originally posted by Oceansize:

Originally posted by Delta-9:

Yeah, this post has came in handy..lol

Hey Delta-9 your handle wouldn't have anything to do with 510 would it?

More like 420....lol