Surgery department?

[Vavou]

Hello everyone!

I always have a doubt concerning the design of the surgery rooms.
I hesitate beetween two options:
-build one or two specialized surgery rooms in each specialized department
-build an entire surgery departement that brings together all the surgery rooms with doctors and nurses guard rooms for the surgical teams

I find pros and cos for both options :
-in the first option the patient is close to the surgery room wich may reduce the time for the surgery transport but need lot of space in each department and I've noticed that sometimes all the surgical team go to operate in the surgery room of an other department...
-in the second option, in addition of being more realistic, the surgery department can be located near from the ICU department wich reduces the time for critical procedures and can regroup the anesthesists on the same floor (maybe if we have enough surgery rooms and stretcher bearer, it not spends so much time ?)

What's your opinion ? Can you please justify ?

[vonMoo]

For me, since the game update where operating rooms became shared between departments, option two works best.

I build a floor of the hospital with all the ORs, as well as on-call rooms and nurse's stations for the dedicated surgery staff. Also on that floor is the ICU, and if I plan well the CT rooms I use for hospitalised patients.

This makes it much faster when surgical teams decide to use ORs from other departments. And I use the ICU very proactively, if I see a patient in the trauma centre who is likely to collapse, or need more than one surgery, I send them directly from the trauma centre to ICU. My ICUs usually have 16 beds, so I have enough space to be able to do this. Like you mentioned, it's really helpful to have a short path from ICU to surgery.

This system works well with placing busy and critical rooms near a central elevator. My trauma centre, ICU, ORs, labs, CT and non surgical nurses stations are all close to a single, central elevator. Efficient transport of critical patients is so important, but this system doesn't even add too much time for transport of non-critical patients to surgery.

I also get a little more room to build nicer wards, HDUs, clinics, etc. on the floors that have the departments.

[Tux]

I am not at that level yet so my view is strickly as a noob.

as a noob, As soon as I opened up my General Surgery I needed about 4 beds in both HDU and General ward in about 1/2 of a day.

I dont know how new the OP is but I think planning that far in advance is going to burn down to economics

[katiem]

i have a floor dedicated to ICU in one half of it and the other half theaters. surgery rooms are shared so doesn't really matter which you use, i usually just assign it all to general surgery so i only need the one cleaning cupboard and easier to organize the corridors.

i like ICU being close to the theaters for obvious reasons, with elevators on the other side away from ICU for other patients being transported so ICU traffic stays minimum and peaceful