Hospital rework

[Milopetilo]

Is your feature request related to a problem? Please describe.

The current 3x3 hospital in the game has been practically unchanged since it was added, and I think it's due a rework. I've put some work into redoing it, but while doing that ran into a few issues that I need some outside input for.
The main idea I have for the hospital is a local hospital, one that does not have every department and is reliant on a bigger regional hospital to fill the departments it doesn't have. In my mind the current 3x2 urban_35 hospital fulfills the role of a regional hospital.
The problem I have ran into is that getting information on the layout of hospitals is quite hard, especially in these smaller hospitals which do not need floor plans. As such I'm also having a difficult time narrowing down exactly what departments I should add.

Solution you would like.

I would like some input as to what departments would be expected within one of these hospitals and how many would be in one singular hospital.
I am also unfamiliar with how hospitals store their supplies and how tight the security on these would be, I assume the riots would have tightened up security but that wouldn't have suddenly added metal doors if those weren't there before.
Would these hospitals have operating rooms and stock anesthetic? If they do are there rooms for patients to stay in for a few days? Are there any drugs that a hospital this size wouldn't store?
I'd appreciate any input on these matters :)

Describe alternatives you have considered.

Another possibility is reworking the hospital into another quite large hospital, or possibly a smaller one, maybe adding more floors. However I think that the current space is plenty and keeping it all on ground floor gives it a smaller feeling, with maybe adding a basement for washing etc. .

Additional context

I have thought of maybe adding a few departments as nests to have variation but that might be too big of a task, I'll have to see once I get some ideas.

[IdleSol]

Did I understand correctly that you want to remodel an existing 3x3 hospital? And it should become a local hospital. I.e. it should have a reduced functionality. And a 3x2 hospital (urban_35) is a regional hospital with full functionality?

Personally, my opinion is that 3x2 is more suited to be local. It's small. Something along the lines of a 5x5, maybe 10x10 would be more appropriate for regional. But the choice is yours.

There is a city clinical hospital not far from me. Approximate area: 500x500 meters. On this area is located:

• Clinic for examination (those who came on their own). A separate building of 7 floors. Many patients, many doctors. Mostly offices, without special equipment (not sure). Examinations are done on site or sent to other buildings (X-rays and MRIs were sent to another building). I was sent here from my clinic.

• An emergency room for those brought in by ambulance. Patients are brought by car, so there is a separate road. It is on the 1st floor of a freestanding building (4 floors). Doctors, paramedics and patients with various injuries. If you have a severed arm, this is where they bring you. Of the features, different colored floor and wall markings (green, yellow and red lines). Indicates different departments. I could be wrong, but it seems to indicate contagiousness? Or perhaps urgency. But I'm not sure.

• Waiting area for relatives of patients admitted by ambulance. Located next to the emergency room from the previous point. Separated by glass walls and doors from the emergency room. Armchairs, sofas and tables. Vending machine and television. There's a checkroom. Wait for the patient to go through the initial examination and you will be told where they will be sent next. Nearby there is a guard who does not let relatives from the waiting area to the reception area. (This is all on the 1st floor of the same building).

• Sorting area and initial examination and analysis (?). Somewhere in here they determine where the patient goes next. And how urgent. Doctors, patients, paramedics. Lots of gurneys and life support equipment. The rest of the 1st floor and maybe the other 3 floors. (Maybe one of the floors is reserved for doctors' rest, but I haven't been there, I don't know)

• A large and long building. 12 floors, approximately 300 meters long (24 meters wide). Contains a variety of departments. It's sort of where they do surgeries, patients lie down, and the like. There's specialized equipment in the basement for patient examinations. (there's definitely an MRI and X-ray). As I understand it, the department occupies a floor or part of a floor and is specialized in something of its own.

• A separate building, a maternity hospital (7 floors or 8 if you count technical). I'm not sure if the whole building is a maternity hospital. But that's how it's labeled.

• a laboratory building where medical samples are analyzed

• administration / office services (bureaucracy)

• Morgue (separate building)

• Church (separate building)

• Park

• Helicopter pad

• Many passages between different buildings, including elevated and underground options.

But that's an option for huge cities with populations of a few million. It's too big for a game. But it might give you some ideas.

I am also unfamiliar with how hospitals store their supplies and how tight the security on these would be, I assume the riots would have tightened up security but that wouldn't have suddenly added metal doors if those weren't there before.

Check out urban_35. In my opinion, it's the right kind of drug possession. The walls and doors are made of metal.

In any case. When it comes to narcotics, in Russia the requirements apply:

• the room is under guard (for the game, this is: the door is closed and an alarm is triggered in case of burglary)
• stored in a safe or a lockable metal cabinet.

Personally, metal doors for storage areas would not be surprising to me. Moreover, metal doors can be used to divide a large hospital into sections and for stairway exits. (Metal doors serve as a barrier to the spread of fire and the division of a building into fire sections. Provided they are fire resistant. Walls should also be fire resistant, i.e. concrete or brick).
In the game, this will give an advantage to the player. The ability to mop up a floor or part of it, without the danger of encountering more zombies.

Would these hospitals have operating rooms and stock anesthetic? If they do are there rooms for patients to stay in for a few days? Are there any drugs that a hospital this size wouldn't store?
I'd appreciate any input on these matters :)

Depends on the assignment. If everything they do is by prior agreement. For example, plastic surgeries. There may be no stock (unlikely, but probably there is a small stock. Simply because it is cheaper to buy a batch rather than a piece).

If it is assumed that at any moment a patient can be delivered to it. There should be a stockpile. And the bigger the hospital, the bigger the reserve. And we're not talking days, we're talking weeks, if not months.

And while we're on the subject. Facilities with diesel generators and fuel storage. They're needed to keep the ORs running in the event of a power outage. Rooms with battery racks that will provide a seamless transition from external power to generator power.

Rooms with pumping equipment and water storage, for automatic fire suppression systems.

[IdleSol]

We have 1x1 small clinics. We can do additional 2x1 and 2x2 clinics in multiple floors. For larger cities. You can examine a patient or take tests in them. But you can't cure. From there you'll be sent to a more specialized place.
Or lots of doctor's offices, little equipment. First aid supplies for injuries that don't require surgery (sprains, strains, burns or minor cuts).

Additionally dental clinics. Looks like regular 1x1 clinics (and if you add, 1x2, 2x2). But of the equipment couches and dental equipment. X-rays. Of the useful stuff, some painkiller and/or anesthetic.

[John-Candlebury]

You can always trust the ego of architects to spill the beans. You can find lots of presentation floorplans here for inspiration on what sort of rooms to place.

https://www.archdaily.com/search/all?q=regional%20hospital&page=2

Heres a pretty good one. https://www.archdaily.com/888911/dr-gutierrez-hospital-mario-corea-arquitectura/5a8192fbf197cce43f00011f-dr-gutierrez-hospital-mario-corea-arquitectura-ground-floor-plan