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Surgery 101
By FragLeg
This guide explains all you need to know about surgeries and how to have an efficient hospital process.
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Created by
FragLeg
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Category: Gameplay Basics
Languages: English
Posted
9 Nov, 2018 @ 5:10am
9,951 Unique Visitors
127 Current Favorites
Guide Index
Overview
The Surgery Workflow 
Staff roles and perks 
Layout 
Comments
The Surgery Workflow
In order to have an efficient department, we need to understand the workflow and roles involved of surgeries in Project Hospital.

Every surgery procedure requires 6 or 7 (!) different roles, although the surgery in itself only requires 5 persons.
  • A doctor as surgeon, who performs the surgery.
  • A doctor as assistant to the surgeon.
  • A doctor as anesthesiologist
  • A surgery nurse
  • A patient care nurse
  • A patient transfer nurse
  • (Optionally) A janitor to clean up

Assuming a patient is scheduled for a surgery, the workflow is:
  1. Reserve the doctors and the surgery nurse and patient care nurse for the procedure.
  2. The surgery nurse and patient care nurse head to the operating room.
  3. The patient transfer nurse starts to transfer the patient from the ward to the operating room.
  4. The surgery nurse and patient care nurse prepare the operating room.
  5. The surgery nurse and patient care nurse pepare the patient.
  6. The doctors head to the operating room and perform the surgery while the two nurses assist.
  7. The surgeon, assistant and surgery nurse leave.
  8. The patient care nurse and anesthesiologist prepare the patient for wakeup.
  9. The patient care nurse stays with the patient and waits for the transfer.
  10. The patient transfer nurse brings the patient back to the ward.
  11. (A janitor can clean up now.)
  12. The patient care nurse returns to the nurse station.
Staff roles and perks
From the workflow we can conclude which factors are important to determince the efficiency.

Findings from the workflow
  • 5 persons need to be reserved and stay reserved until the group is complete.
  • The patient needs to be transferred back and forth by a patient transfer nurse.
  • Patient care and surgery nurse work together.
  • The three doctors work together.
  • Patient care and patient transfer nurse work together.

Roles
The patient care nurse is reserved for the surgery, therefore the patient care nurse cannot also do the patient transfer!

While it is not necessary to have one nurse dedicated to each role, you need at least two nurses with both roles enabled. Should you have dedicated nurses though? This depends a lot on their perks. If you have a fast walking nurse, dedicate her to patient transfers. If you have a slow walking nurse, dedicate her to patient care or surgery nurse.

Everyone has to wait for a doctor doing diagnostics / observation. Therefore, if a doctor is allowed to do diagnostics / observation and has a surgery role, there should be another doctor with the same setup.

Second specialization
Allowed role
None
Diagnostic / Observation + Assist at surgery
Advanced diagnosis
Diagnostic / Observation + Assist at surgery
Surgery
Surgery / Trauma
Anesthesiology
Anesthesiology


Perks
Name
Good for
Neutral for
Terrible for
Germophobe
-
Patient transfer nurse, Janitor
Everyone else, especially terrible the combination of a germophobe patient care or surgery nurse and any germophobe doctor
Fast
Patient transfer nurse
Everyone else, they need to wait for the slowest in the group anyway
Slow
Everyone - avoid at all costs as it impacts every single person due to the dependencies in the surgery
Long commute
Patient transfer nurse, Janitor, Assistant if there are two
Surgeon, Anestesiologist, Assistant if there is only one
Layout
Findings from the workflow

  • The patient transfer nurse is the only one who needs to walk to the ward for the surgery.
  • Everyone needs to walk from the on call room / nurse station to the operating room and common room.
  • Doctors need to walk to the operating room for every surgery, but only once in the morning to the ward.
  • Patients are checked in and out from the ward.

The ideal layout

Name
Name
Name
Name
Specialized diagnostic units
Diagnostic Unit
Operating Room
Wards / HDU
Cleaning closet
Corridor
Corridor
Corridor / Elevator
On-Call Room
Common Room + Rest Room
Nurse station
10 Comments
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Michael 17 Feb @ 11:01am 
This is a nice guide. I need it, thank you!
ModerNertum 1 Nov, 2024 @ 2:38am 
As for perks: Hard worker is other one to avoid, as well as depressed and alcoholic. Hard worker will make it so your staff literally works themselves to death (lowering their needs to critical level and increasing the odds of surgery complications). Alcoholic is self explanatory. Avoid this at all costs for any employee because they will wreck havoc in any department in no time. Depressed gives a double negative modifier so a few depressed will not hurt the department prestige. A lot will. Its not so bad if they have decent good perks to compensate. Last but not least is Unpleasant. Another no go for any staff member. Avoid at all costs. It will wreck havoc in a department in no time.
Oz 25 Oct, 2023 @ 10:28am 
To add a small but very useful thing I learned after too many hours, doctors in ICU with Anesthesiology specialization DO PERFORM surgeries FOR ALL DEPARTMENTS as the Anesthesiology doctor (of course). ICU doctors are almost always idle, so are very useful.
If I am not mistaken as well, the game counts them already as Anesthesiology doctors when you set up hospitalization that requires them. If you hover over the Anesthesiology requirements, a popup will show how many are being counted from the current deplartment, and how many are being counted from the ICU dep.
Vuyek 16 Apr, 2023 @ 10:11pm 
I recommend doctors and nurses who ONLY do surgery.
Just like you should have 1 day and 1 night transport ONLY nurses.

Have 1 doc and 1 nurse who do patient care and diagnostics.
'Yellow Bird' Steele 10 Nov, 2021 @ 10:04am 
I can broadly understand what you have with the ideal layout, but could you elaborate a little please? Is this the rooms required for surgery? Is the the flow of events, say cleaner goes from the closet to a corridor, then another, then another/elevator?
Evan Vincent 29 May, 2021 @ 3:51pm 
*correction to my post below, it should say On-Call Room not Common Room
Evan Vincent 29 May, 2021 @ 3:46pm 
Any idea why when i have lots of patients awaiting surgery, i have a few doctors (surgeons) sat Idle in the common room ?
Nebi 2 Jan, 2019 @ 10:03am 
Hi, this is an excellent guide thank you very much! I noticed something while trying to follow your recommendations. When a patient needing an operation is in Intensive Care Unit, the nurse for transporation of the stretcher was from the Intensive Care Unit and not from the target department (like Cardio or General Surgery). So for a moment I was wondering why my stretcher nurse from my target department was not moving and then realized that more nurse capacity in the Intensive Care Unit was needed. Cheers!
FaHaD912 16 Nov, 2018 @ 4:02pm 
There is a problem in the operating room, where doctors stand without work inside the operating room!
h_s_l.stephan 9 Nov, 2018 @ 3:30pm 
Thank you. This are very good basics for a good layout.