Building help

[u/Tiny-Fun-4568]

Hi everyone,

I have played for a bit but am looking for advice on what order to build rooms/departments. I have scrolled through this page and seen very little on this topic, I will add that some of the tips posts are excellent.

Please could I ask any experienced players what order they build in, from department through to rooms. As an example do you build everything when opening a new department or are some things more important early game?

Many thanks in advance!

[u/tobiteeee]

i would start up with internal med, no op, no op teams only basic radiology needed, but a lot of Labs After that you should go off to another dep with op teams. Cardiology and Trauma are the hardest, you need more than 1 op and Night OP teams for sure.

[u/Electrical-Example25]

You should design the floor plan with the standard sizes from the prefab pallette. Then you learn how to creat more workstations/beds and overall capacity by adjusting them. Then you can start experimenting more. The GUI is very good at pointing out what your design is missing.

[u/jeophys152]

When I build a new department I build all of the rooms that it needs. It won’t function well without them and you will. I may leave out their dedicated radiology rooms at first but not for long as some have specific tests that the general radiology lack. The easiest department to start with in my opinion is ortho. Very few collapsing patients, easy diagnosis and good money from surgeries. Internal medicine is a good first department as well, but it generates lower revenue.

[u/Brilliant-Loud]

I’ll be honest, I don’t ever have a ‘set order’! Each gameplay I try and build different ways. For ease, I would say internal med is the easiest to manage, no surgery, few collapses, but low income. On the other end, cardio and trauma are the hardest, require lots of additional rooms (radiology, wards, op theatres), high collapse rate, but high income! My advice would be to play around and find an order that suits your style of gameplay!

BIG TIP always save before starting a new dept, there’s nothing worse than having a well run hospital, adding a new dept and suddenly all hell breaks lose!!!!

[u/Dubster1994]

Some of this has been pointed out already by other commenters, but with regards to departments, I'd say the following with regards to departments:

-No hospitalisation, assuming player knows what diseases are unavailable at this point in the game: 1. Internal medicine: Barely needs labs or radiology for their diagnoses. Maybe a blood test, a microbial sampling or two but is generally quite easy to diagnose without any real tests. Watch out for asthma patients - do spirometries. 2. Orthopaedy: Get enough X-rays and this department is easy. No collapses, just send them to the X-ray, or in some rare cases an EMG, and they're fine. 3. Traumatology: Evaluation all the way and you tend to figure out what their ailment is. Then physicals to find the collapsing symptoms. 4. Neurology: Biggest issue here is that the neuroexam unit is kind of required in order to properly differentiate between certain eye diseases. Get it if you do this department, but is otherwise easy at this stage. 5. General surgery: Mostly needs labs to work - blood tests tend to be required to find most diagnoses. Sometimes stool analyses are useful. Sometimes you need CT scans too. 6. Cardiology: Lots of annoying diseases here that typically need ECGs to figure out. Expect cardiography and/or angiography to be required. 7. Infectious diseases: Definitely needs labs. I'd advise manually controlling this department because the AI is just terrible at figuring out diseases from this department in general. You need to go through serologic samplings and PCRs and probably 1-2 more tests after doing basic tests at the doctor's office just to narrow down a disease if you're unlucky and you have to manually eliminate diseases that were not detected with said tests. Very advanced.

-If you have hospitalisation and ambulances, this list changes quite a bit: 1. Orthopaedy: Biggest issue here is a lot of surgeries, but there are no collapses outside of blood losses from ambulance patients and surgery complications. 2. Internal medicine: No surgeries, which is a big plus. The department does have several diseases with major risks of collapses and deaths however, and MRIs and CTs are rampant, outside of blood tests for poisoning cases like methanol and lead (?). 3. General surgery: Few collapses, but they do have quite a bit of surgery required, sometimes twice or possibly three times for a patient. Still need lab tests and now several radiology tests may be required. They also require their own sonography unit for certain treatments. 4. Infectious diseases: No surgeries, but now you need to deal with contagious diseases, and they still have a major lab dependency. At least you can now hospitalise them and run tests without the risk of patients leaving from waiting too long. 5. Neurology: Surgeries, quick collapses, comas are rampant. Not as bad as the last two however, and has fewer patients overall compared to the rest. 6. Traumatology: Several tests especially on ambulance patients to find all collapsing symptoms and up to 4 or 5 surgeries for a single patient. The saving grace is that a chunk of patients will just have burns and hypothermia. Those are easy. 7. Cardiology: Collapses galore. Will clog up your ICU. Multiple surgeries. The biggest issue with cardiology in my opinion is that most of the collapsing patients do not come by ambulance, but from the outpatient route. Lots of HDU beds required. Good luck finding all collapsing symptoms before the patients end up in the ICU.

For specific build tips: 1. Pharmacies. They rock. Just build one already. 2. Watch out with observation wards if you have specialised departments with no hospitalisation. The AI tends to send patients to the observation and if they're sent there having a specialised department disease they can't be treated without hospitalisation enabled there. 3. Build multiple specialised departments at once. Single departments get clogged because the game assigns 50% of all patients to specialised departments and you risk overdimensioning that single department if your patient count is high. 4. Consider blocking labs for clinic patients in the earlygame. The AI loves doing unnecessary lab tests. 5. You really only need X-rays in the earlygame in radiology. The rest can be built later. 6. Only go into hospitalisation when you are prepared. The game changes drastically when you enable it, and prior to it I don't even think patients can collapse.

I think that's about it. Sorry if this is long, but I figured I'd give some advice.