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sgcouk
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on Thu Nov 19, 2020 4:24 am
How much XP does a nurse get from transporting a patient

My nurses don't seem to be levelling up and it's slowing down the expansion of my hospital as none of them are learning how to become surgical nurses or receptionists. I currently can't open hospitalization in General Surgery as I'm still waiting for the nurses to level up to Surgical nurses. And as TWO are needed to allow surgery I will end up losing money making the game unplayable. I'm also not getting patients collapse to allow nurses to help with stabilization at the trauma centre. I can't get ambulances yet so have to rely on patients collapsing but they aren't, I've had 1 collapse in 3 hours of gameplay.

I can't even send them to train in the Admin department as that will only add to patient care and not their overall experience.

How do I get my nurses to start gaining experience in the emergency department?
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prostefanx
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on Thu Nov 19, 2020 8:08 am
Why do you wait for them to level up?
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Esidara
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on Thu Nov 19, 2020 10:51 am
It's way cheaper to level up staff in house than hire them fully qualified, esp. doctors.

I have the same question, sgcouk.

I do recommend, though, sgcouk, that you don't open trauma and ICU until you can open hospitalisation on a department for the reason of collapsed patients and no where to send them. Which does mean, at first, you need to hire qualified surgery nurses then replace later
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prostefanx
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on Thu Nov 19, 2020 11:59 am
Yes it’s cheaper. But why would I wait for them to level up? Although they can’t level up without doing anything
sgcouk
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on Thu Nov 19, 2020 1:03 pm
prostefanx wrote:Yes it’s cheaper. But why would I wait for them to level up? Although they can’t level up without doing anything

Is there a way you can get them to level up without waiting? Because that sounds like you know something I don't.
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Esidara
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on Thu Nov 19, 2020 1:22 pm
They can be hired with the surgery skill, or the advanced nursing skill, but they're more expensive
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prostefanx
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on Thu Nov 19, 2020 1:45 pm
Without hospitalization they can’t level up. They can only level up by DOING something
Maybe they gain experience by working on a computer. But why should you pay them 20 days instead of just hiring 2 with special skill? That’s less expensive than first thing.
sgcouk
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on Thu Nov 19, 2020 2:16 pm
prostefanx wrote:Without hospitalization they can’t level up.

Which renders the idea of an "intern" nurse totally useless. Why give the nurses a 'level up' system and then make it so that they have to be level 2 before you can open the section they need to level up? The first level of nursing becomes redundant and all nurses should start with the level 2 skill already available.

The game assumes that you will employ the skills. I chose not to. I chose to employ interns in all positions and departments so that the next section can only be 'unlocked' when I have the cash and the experience to run the department. All doctors start at emergency and when they reach level 2 can then move to another department (Gen surgery for example). On reaching level 4 they can move to hospitalization. It gives the game a natural progression. (I've had to edit the Insurance file to swap the unlock of the labs vs radiology as all technologists have to start in the labs).

Would it not be a better idea that you can open hospitalization WITHOUT surgery and then add that at a later time when staff have gained sufficient experience?

So let me ask... Why should I hire people that already have the skill? If that's the case, then the devs may as well remove the 'level up' system.
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Esidara
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on Thu Nov 19, 2020 2:41 pm
Hire two with the skill, because hospitalisation is lucrative, then replace them later.
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prostefanx
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on Thu Nov 19, 2020 3:04 pm
I take level 1 nurses just for transporting. Nothin else. I don’t see your Problem. Why should they level up?
Do you gain anything by doing nothing? I don’t think so
DocDesastro
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on Thu Nov 19, 2020 4:22 pm
Roleplaying reasons? I can totally understand this. I, too would hire interns and let them work their way up. And they should start with jobs they can do without harming people like giving wrong treatments, jumbling up the appointments or drop the scalpel in the operating theater. So they haul around the stretchers and beds and dish out drinks and food.

IF they wont get XP for those tasks, then they are stuck with the task as they NEVER grow to something more sophisticated. Not getting XP for transport jobs is wrong.
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prostefanx
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on Thu Nov 19, 2020 4:30 pm
They get XP for transporting. You did that get wrong.
He asked if NURSES get ANY XP just for BEING around and not for doing anything.
He asked for nurses that have nothing to do because of having no real job
DocDesastro
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on Thu Nov 19, 2020 4:32 pm
Oh..then I missed this, sorry.

Well...ofc you don't get XP for doing nothing. This point is so moot that I did not think about the topic was meant like this. Sorry for the misunderstanding on my behalf.
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Esidara
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on Thu Nov 19, 2020 4:43 pm
The difference it makes to nurses and lab/radiology staff in terms of cost is, admittedly, minimal, although I have noticed variation of 150 at times. With doctors? It can be 200 less per doctor, which builds up quickly
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prostefanx
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on Thu Nov 19, 2020 4:47 pm
On doctors yeah. But on nurses? I don’t see it. If i have enough income why lost money by waiting

And why wait for hospitalization with NURSES doing nothing
sgcouk
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on Thu Nov 19, 2020 7:36 pm
prostefanx wrote:He asked if NURSES get ANY XP just for BEING around and not for doing anything.

Please read my original post again prostefanx because you are so very far away from being right its quite scary.

sgcouk wrote:How much XP does a nurse get from transporting a patient?

I asked if nurses get XP for transporting as it doesn't look like they do which makes a mockery of the levelling system as DocDesastro said

DocDesastro wrote:Not getting XP for transport jobs is wrong.

So please... enlighten me... how much XP does a nurse get from TRANSPORTING a patient?
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Fading Qualia
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on Mon Nov 23, 2020 12:00 am
sgcouk wrote:
prostefanx wrote:Without hospitalization they can’t level up.

Which renders the idea of an "intern" nurse totally useless. Why give the nurses a 'level up' system and then make it so that they have to be level 2 before you can open the section they need to level up? The first level of nursing becomes redundant and all nurses should start with the level 2 skill already available.

The game assumes that you will employ the skills. I chose not to. I chose to employ interns in all positions and departments so that the next section can only be 'unlocked' when I have the cash and the experience to run the department. All doctors start at emergency and when they reach level 2 can then move to another department (Gen surgery for example). On reaching level 4 they can move to hospitalization. It gives the game a natural progression. (I've had to edit the Insurance file to swap the unlock of the labs vs radiology as all technologists have to start in the labs).

Would it not be a better idea that you can open hospitalization WITHOUT surgery and then add that at a later time when staff have gained sufficient experience?

So let me ask... Why should I hire people that already have the skill? If that's the case, then the devs may as well remove the 'level up' system.

Hey there! I can help you with this, as I almost always play the same way you are trying to (only hiring interns and the leveling them up).

What you are attempting to do can be done and nurses can level up from 1-2. The key is the order in which you open your departments. After the clinic you need to open up the ER. Nurses can level up there, but it is rather slow. Patients in observation will get transferred out if you don't have another ward open for hospitalization. You therefore need a unit that allows hospitalization and doesn't require surgery nurses. Internal Medicine is the one you want for this. Nurses don't level up transporting patients so, for the quickest leveling, you will need at least two nurses per shift -- one to transport patients (and only transport patients) and one set to patient care (and only patient care). The nurse who exclusively does patient care will eventually level up, and it typically doesn't take too long (especially if you use a mod to increase the overall number of patients or you adjust the tweekables yourself to do the same).

So, in summary, you can definitely do what you are trying to do (I almost always do the same). You just have to open the first couple of departments in the right order to get nurses to begin leveling up. Also, note that this means the first few doctors that level up must also be internal medicine so you can open that department to begin with. Hope this helps!
sgcouk
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on Mon Nov 23, 2020 1:19 am
Thank you! The last time I really seriously played was before a lot of the DLC had been released so Internal Medicine had the same requirements as the other departments so thanks for the heads up on the new requirements for Internal Medicine (I admit I hadn't really looked either).

I still think that even XP should be granted for transportation. Even 1XP would be helpful.

I also think that being able to filter interns on hiring would be really helpful too.
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Fading Qualia
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on Mon Nov 23, 2020 1:29 am
sgcouk wrote:Thank you! The last time I really seriously played was before a lot of the DLC had been released so Internal Medicine had the same requirements as the other departments so thanks for the heads up on the new requirements for Internal Medicine (I admit I hadn't really looked either).

I still think that even XP should be granted for transportation. Even 1XP would be helpful.

I also think that being able to filter interns on hiring would be really helpful too.

Happy to help!

The XP is an interesting point. On one hand, it would help to level up. On the other hand, I really like employing cheap interns to move patients around knowing they will never level up and cost me more money. Wink

As far as intern filter, one workaround to that is to create your own staff each time. I consider the $10,000 a "recruitment" cost in my head. If you recruit them to a hospital ward or the ER (and don't select any specialties) they will be recruited as an intern (you just can't recruit them to reception or with a specialty or they will be level 2). Works well for getting specific gender and perks (for example, my "never-to-be-promoted" interns who push stretchers around are always given the fast trait).
sgcouk
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on Mon Nov 23, 2020 7:12 pm
I see what you mean but I don't think spending $10,000 is the answer. Every single person gets 2 perks and 1 drawback. Not much variety. There's always an abundance of highly skilled workers ready to jump into a surgical position. The game rewards players who just throw in the first employee they find. Players who want more "progression" are at a huge disadvantage.

Personally, I think that when it comes to the hiring mechanic there should be a way to switch it to interns as the default. You can cycle through as many of them as you like with little or no cost. Employing the skilled workers instantly is where the money should come into play. Hire an intern with the good boss and pleasant perks? FREE. Hire a good boss with the pleasant perk, no problem, but pay $5,000 for each upgraded level ($5,000 for a resident, maximum pay $20,000 for a specialist). Reward the players who take the hard slog and watch every single employee go from intern to master of their field.

For those that like how it currently is they can continue. For those that like to play with interns, they get their way too.

I'm currently running a hospital where I do just that. The early game took a lot, getting nurses who would study or learned quickly was hard having to cycle through so many skilled people. But my sense of satisfaction when I have enough skilled people to open up the next part of the hospital is incredible. Not to mention the cash that I have saved up means a rarely have to get a loan to build the next section. On the flip side, if I build the next section and just open the box and hire whoever is at the top I get no satisfaction what-so-ever, I feel like I'm cheating.

But until then I will have to do like what I just did, open up Internal Medicine and hire 12 nurse interns. I had to go through 230 other employees to get there though. Not good.

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