surgery on night shift

[HOUSE_D]

Can we do surgeries on night shift? I hired the required staff but didn't see any surgeries done?

[Kuattro]

If you are not getting any surgeries at night, you probably are missing some member from the surgery team in the night shift:

1 doctor with surgery task enabled.
1 doctor with assist in surgery task enabled.
1 doctor with anesthesiology task enabled.
2 nurses with surgical nurse task enabled.
1 nurse with transport patients task enabled.

And of course a patient that needs surgery.

[Menno]

I want to add something to Kuattro's comment. If you have all of this and surgeries are still not getting done, or not quickly enough. You can make an dedicated surgery team. Just have all of the listed tasks hired, and have only those tasks enabled. So ie. for all the doctors, deselect "Diagnostic". However, if you do this, make sure that there's an extra doctor present who has the "Diagnostic" task enabled. In addition, all departments need to have an dedicated surgery team. If you hired an team in cardiology, they will not perform surgery on neurology patiënts.

[HOUSE_D]

I tried it again and noticed we had a surgery on night shift this time. The only weird thing is that some of the ortho docs went upstairs to have surgery on a cardiac patient and some of the cardiac docs went downstairs to operate on an ortho patient. Either way the surgeries got done.

[Menno]

This should not be possible, since an ortho doc can only operate on ortho patients (unless you are using mods maybe). However, they will share operation theaters. It can happen that an orthopedic surgery will be done in an cardiology operating room. Either way, since it doesn't matter since it's fixed ;)

[Sarsgamer]

Originally posted by HOUSE_D:

I tried it again and noticed we had a surgery on night shift this time. The only weird thing is that some of the ortho docs went upstairs to have surgery on a cardiac patient and some of the cardiac docs went downstairs to operate on an ortho patient. Either way the surgeries got done.

I think you're misunderstanding it. Surgery rooms are shared so any surgeon and such staff can go to any surgery room. However, an ortho surgeon will only operate on a ortho patient and same for other departments.

If you see Ortho patients in cardiac area surgeries than means your ortho surgeries were full or some say they need cleaning, but i'm not sure about that. I've seen surgeries start with blood on the floor still from the last patient. They might go to the best option - including cleanliness.

[HOUSE_D]

Yeah that was probably the case. Also I've noticed that I have had 3 people waiting on cardio surgery and the docs are just hanging out in the on call room doing their own thing. No reason for them not to be operating. I have a couple times prioritize people to make them operate. When a person is on the schedule for surgery and they are in ICU cause they collapsed...does it hold up all the others? will they still operate if they are in ICU?

[CINARRA]

They will operate when in ICU and stabilised, however they will NOT operate when in Trauma Centre. It has happened to me that the surgery team was in perpetual "preparing for surgery" because somehow the Trauma patient was on top of queue but they couldn't operate since all beds were full.

[Sarsgamer]

Originally posted by HOUSE_D:

Yeah that was probably the case. Also I've noticed that I have had 3 people waiting on cardio surgery and the docs are just hanging out in the on call room doing their own thing. No reason for them not to be operating. I have a couple times prioritize people to make them operate. When a person is on the schedule for surgery and they are in ICU cause they collapsed...does it hold up all the others? will they still operate if they are in ICU?

Originally posted by CINARRA:

They will operate when in ICU and stabilised, however they will NOT operate when in Trauma Centre. It has happened to me that the surgery team was in perpetual "preparing for surgery" because somehow the Trauma patient was on top of queue but they couldn't operate since all beds were full.

I haven't seen what CINARRA mentioned, but i could see that happening. That might be a nurse transfer issue though - and note the nurse doing the transfer comes from the department that the patient is transferring to.

Also your statement of doctors being idle and doing nothing. That could mean various things - no available surgery room or other staff are not available. For surgery staff I make sure I have dedicated surgery staff. Basically my staff, in all departments have specific roles (also helps to determine which type of staff you need more of).

Hospitalization with surgery each department:

2 Nurse surgery - no other tasks
1 Doctor anesthesiologist - no other tasks
1 doctor surgery - no other tasks

repeat above as needed if you want multiple surgeries occurring at same time - day and night.

The rest of the department:

Nurse with patient care and transfer (however many you need)
Doctor with diagnosis and assist in surgery (however many you need)

Emergency trauma and observation i dedicate staff jobs to, but mainly only needed if your observation and trauma are in separate parts of the hospital (it's mainly to limit how far the staff have to walk at any given time).