"Patient can't be hospitalized"

[Dr4g]

Hey, I have all the clinics, so i decide to start hospitalization. I made emergency hospitalizations; the doctors send patients to be hospitalized just fine; however some of them once they're already hospitalized and their symptoms are revealed and i find out what their final diagnosis is, Even if i have the required treatment available, it says Patient can't be hospitalized because I don't have hospitalization in a different department like cardiology or internal medicine. what do i do? thanks.

[pete]

I think you need to enable hospitalization in each department and this must include a ward. Change the view to that department and see if hospitalization is enabled for that department. btw You get a smilar message if the ward/HDU is full.

[Cas]

You need to open hospitalisation for your other departments - emergency tends to try to send them to the correct department’s ward when they know what the condition is.
I tend to leave emergency hospitalisation until after I have at least some departments open with surgery and hospitalisation first.

[Tankfriend]

As was said above, you need a fully functional ward for the department the patient has to be sent to.

Strangely enough, you also get patients sent to wards who have illnesses that would normally be treated by your clinic if you don't have a ward. The moment you have one, a good number of these suddenly have to be treated with hospitalization only, which doesn't make much sense.

[Oceansize]

If a patient has already been put in a bed (hospitalized), then there need to be beds available in whichever department you want to transfer them to. If you've got Observation and TC beds open but not the beds in the other departments, you won't be able to transfer those patients out of Emergency. Oftentimes however the test/exam/treatment in question can also be performed in ICU. So if you don't have any other beds open in the required department, you can often put your overflow into ICU if necessary and they will get treated there. ICU can't do all exams though so I only recommend doing this after you've got a pretty good idea what the final diagnosis is.

[Oceansize]

Originally posted by Tankfriend:

Strangely enough, you also get patients sent to wards who have illnesses that would normally be treated by your clinic if you don't have a ward. The moment you have one, a good number of these suddenly have to be treated with hospitalization only, which doesn't make much sense.

Yep this happens a lot. When all my clinics were open but no hospitals, my clinic patients would get sent to the Neurology unit to get Perimetry just fine. But once Observation beds were open, if those clinic patients got sent to Observation first then they wouldn't be able to be sent to Neurology for that exam since Hospitalization isn't open in Neurology.

[Tankfriend]

Originally posted by Oceansize:

Originally posted by Tankfriend:

Strangely enough, you also get patients sent to wards who have illnesses that would normally be treated by your clinic if you don't have a ward. The moment you have one, a good number of these suddenly have to be treated with hospitalization only, which doesn't make much sense.

Yep this happens a lot. When all my clinics were open but no hospitals, my clinic patients would get sent to the Neurology unit to get Perimetry just fine. But once Observation beds were open, if those clinic patients got sent to Observation first then they wouldn't be able to be sent to Neurology for that exam since Hospitalization isn't open in Neurology.

Just recently, I had that one patient with Irritable Bowel Syndrome. Normally, he'd just get sent to the General Surgery department to have the on-duty doctor tell him how to adjust his diet. Quick stuff, done in a couple of minutes.
Not today! Today, he got sent to emergency observation, who refused to give him that dietary plan. And the doctor from GS refused to talk to that patient, unless he got an own hospital bed in a GS ward (which doesn't exist yet). In the end, this poor patient had to be transferred to another hospital just so that he could have advice on how to change his diet. Stuff like this is almost worthy of a meme...

[Cas]

This is definitely a bit of an issue with emergency hospitalisation at the moment - as soon as you open a decent sized observation ward your other departments better have plenty of spare beds ready!

The clinic docs seem very keen to pass patients to emergency observation - then once they’re in because they’re considered hospitalised, you can’t unhospitalise them - even if they’re perfectly fine and just need something simple!

I’m hoping they either reduce the chances of patients being sent to observation, or allow you to pick a “refer to clinic” option maybe that lets you send them to another department’s clinic if they have no flashing symptoms because at the moment it’s a bit mad.

[Oceansize]

Don't you know Tank, people with IBS can only receive advice from a doctor while lying in a bed! :-P

[Oceansize]

Originally posted by Dan:

This is definitely a bit of an issue with emergency hospitalisation at the moment - as soon as you open a decent sized observation ward your other departments better have plenty of spare beds ready!

The clinic docs seem very keen to pass patients to emergency observation - then once they’re in because they’re considered hospitalised, you can’t unhospitalise them - even if they’re perfectly fine and just need something simple!

I’m hoping they either reduce the chances of patients being sent to observation, or allow you to pick a “refer to clinic” option maybe that lets you send them to another department’s clinic if they have no flashing symptoms because at the moment it’s a bit mad.

Yeah it's a bit of a Catch 22. Opening hospitalization in Emergency cracks open the beehive due to clinic doctors' love of assigning simple cases to Observation beds. But you need Emergency Hospitalization open in order to open ICU, which should be opened just before opening any of the departments that would help take the load off Observation.

So unless you want to refer a bunch of cases to other hospitals that you didn't have to refer before you opened Observation, you're forced to pretty much open all hospitals at the same time.

[Oceansize]

I suppose the workaround is to micromanage / take control of your Emergency clinic patients as much as practical in order to prevent unnecessary assignments to Observation. I usually take control of the ambulance and other due-for-surgery patients, but maybe I could save myself some grief by concentrating on controlling the emergency clinic patients instead.

[Tankfriend]

Originally posted by Oceansize:

Don't you know Tank, people with IBS can only receive advice from a doctor while lying in a bed! :-P

Don't forget, it has to be the bed in the correct room! :P

[b1gag3]

Gosh I was wondering what the heck happend in my clinic. My hospitalization in ER worked just fine till the moment I created the surgery department. Even if I got just one office over there and enabled hospitalization just recently (but build nothing for it yet) I got at every patient in ER hospitalization the message that ER hospitalization is not working or broken (anymore). Strangely enough this message even shows up if the patient only need to be send to and X-ray examination. After that I changed the hole staff, removed the rooms assignments and the message keeps poping up.
Imho the game should CHECK if the other department got hospitalization BUILD UP and not just the unlocked option of it. Otherwise you're forced to rush through the build up of the hole department (except that you need to unlock the hospitalization option as fast as possible) instead by piece by piece.
In case its not a bug and its intended the game clearly needs a hint why hospitalization is broken at the ER hospitalization. Like "because ER wants to shift the patient to another department"

[DrBill]

seems like a crucial game mechanic. Did anything change on this?

[Astrarium]

I only started playing recently and ran into this issue: try to have emergency hospitalization while running a surgery clinic and BOOM, need a fully decked out surgery dept. or else lots of wasted time.

Abandoned that game and started over, this time picking Internal Medicine (less initial hospitalization staff required) instead. Even so, I had to take out loans to make a profitable setup and then repaid them. It seems like the way to go is to make one dept. at a time and fully develop it before moving on to the next.

[M3E6]

Originally posted by Astrarium:

I only started playing recently and ran into this issue: try to have emergency hospitalization while running a surgery clinic and BOOM, need a fully decked out surgery dept. or else lots of wasted time.

Abandoned that game and started over, this time picking Internal Medicine (less initial hospitalization staff required) instead. Even so, I had to take out loans to make a profitable setup and then repaid them. It seems like the way to go is to make one dept. at a time and fully develop it before moving on to the next.

Still appears to be the same issues I'm having, annoying to say the least