March 2020 Feedback - Suggestions

Hi, I've clocked in at 230 hours in my Steam play now, it's not exactly high, but it's in the heart that's matter (cheesy isn't it?).

New Features

Heart-Lung Machine (Cardiopulmonary bypass machine)
I personally think that the operating theater could use more props, and for hospitals that supported heart surgery, that's an extra point for immersion!

ECMO (Extracorporeal membrane oxygenation)
ECMO is a great invention because it helps give patients with cardiac and respiratory failure a chance to live long enough for them to see a new heart/lung, a proper surgeon, or assisting them in recovery from some cardiorespiratory diseases. Since complications are already in the game, it might be a good idea to add a complication where the patient is unable to wean off from cardiopulmonary bypass after the surgery, so they must rely on ECMO to help them recover. To balance things out, this machine is expensive, that's why most hospitals don't have them in real life.

Department-Specific Toggle for Radiologists
Placing a CT scanner and X-Ray room near the trauma center will only invite patients from the other side of the map, defeating its purpose. By putting an option to toggle which department the radiologist is allowed to work with, you could save a lot of time (and reduce the hospital traffic) to diagnose recently arrived critical patients.


Modification to the Existing Feature

ICU Dialysis
I actually have made a mod for personal use before, and it worked! That's why every ICU beds in my hospital have a dialysis machine next to the mechanical ventilator/life support. No need to transport patients to General Surgery diagnostic room any longer when it can be done in the bed! Of course, people have different room size constraint, so putting a dialysis machine in ICU is completely optional.

Resuscitative thoracotomy
Like in real life, cardiothoracic surgeons have a lot of critical patients to operate, so they can't change their schedule easily. Sometimes patients with trauma to the thoracic area arrived in the ER and emergency physicians couldn't get a cardiothoracic surgeon in time, so they must access the patient's heart themselves in an attempt to keep the patient alive long enough for the cardiothoracic surgeon to arrive. The game already has an anesthesiology role available for ER doctors and a surgery role available for ER nurses, but it doesn't have any direct uses at the moment. By adding an optional "resuscitative thoracotomy" treatment option to the critical patient with cardiac trauma, the ER team could try to keep patients alive long enough for a surgical team to free up. You could try to simulate the risk by adding complications or "dice roll" the patient's survival chance for this procedure. This way, the hospital can have a chance to handle multiple cardiac trauma cases better without wasting a lot of money having multiple surgical teams for one department for a relatively rare occurrence.

Decals On Windows
There used to be an exploit that allows you to place a decal on glass windows before. It’s now patched, intentionally or unintentionally. Reintroducing this feature is a good idea, but improving it by allowing decals to be placed at will rather than placing the decal first then placing the window.

Hey guys!

I too am a healthcare worker and absolutely love this game. I have thought of a few DLC things along the way that I think would certainly contribute to the realism of the game.

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

EMERGENCY DEPARTMENT TRIAGE LIST

It would be great if all patients that present to the ED nurse for triage get added to a list, similar to the new "planned surgery list" in the game, that we can manipulate so that patients with flashing symptoms get seen (and hopefully hospitalised) first. This is what would happen in the real world anyone and is the basis of any triage system. I feel this would help with patient ratings and overall hospital ratings.

Additionally, it would be helpful if we could just bypass the clinic doctor and if a patient has been changed to 'player controlled' then we should be able to send them directly to the observation area of ED.

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

STAFF PRIORITY

This feature would be that in 1 given department, no two or more staff members of the same position would 'fulfill needs' at the same time. For example, if there are 2 X-ray radiologists, the programming would be that only 1 of them would fulfill needs at any given time so that there is always someone manning the X-ray machine to see patients. I find it frustrating that I pay to build and staff 2 X-ray machines to ensure efficiency just to find both staff leave their desks at the same time and have patients waiting unnecessearily - this always seems to make department ratings go down.

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

OPTION TO REMOVE PRESTIGE IN SANDBOX MODE

Have the option to remove prestige influencing patient inflow so that you can have a true sandbox mode and enjoy the game for what it is and not the managerial side of things.

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

ED RADIOLOGY ALLOCATIONS

This feature would allow you to construct and staff X-ray and CT (for example) that only cater to hospitalised patients in ED, both observations and trauma centre, so that their imaging is not delayed. This would help so that a diagnosis could be reached sooner and the patient being treated and transferred to an appropriate department quicker. This would certainly help with efficiency and hospital ratings.

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

STAFF HANDOVER PERIOD

This feature would have a crossover of at least 1hr where the oncoming shift come on the floor 1 hr before the current shift leave so that there is always staff on the floor and there is no gap in patient care. I have had many patients die from collapse because the patient collapses during staff changeover and its so infuriating! No hospital in the world would leave a department/patients completely unattended haha

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------


Just some suggestions to help keep that hospital humming

Keep up the good work guys!

Those are great suggestions. The department-specific usage of some rooms is direly needed. Patients are piling in front of one room, because the tech at the other one is taking his lunchtime and everybody and his little brother walks the mile to get to the other room. Also, prioritizing patients at a waiting room would be a nice thing. Some are waiting too long and could be taken first.

Addition: If we are manually checking the patients, if we pick hospitalization the patient should go there at once and not wait for the docs.

If I may add mine:

Porters, like a billion other people have suggested  

Limited numbers of staff on break at a time, like you said.

The ability to tell a room of nurses or doctors to monitor only one particular ward.

Staff hand over - they start coming at seven am for night shift to leave at 8am, same at 7pm and 8pm, and only leave when their replacement arrives (unless they don't have one, in which case they just leave at the end of their shift)