The first and most important thing to do at the beginning of every level, when you have a period of time to build your hospital is to set the speed to slowest, just press 1. This will give you as much time as you want to get the layout right, without rushing you. You will then generally open at about the half way stage, giving you a jump start against the opposition.
The first thing you want to do it hire 2 receptionists with desks. This is not essential for the beginning, but as the queue of people builds up, it gets harder to cope with one receptionist, and you often find there is not room near the beginning for another desk.
It is always good to have 2 GP's office, because as the volume of people increases, you will find you will want another GP near the entrance, and if you only started with one, you will find that you have not left space for another one when needed.
Immediately take all the 20% of research out of specialization, and put it in diagnosis, as you only need specialization when you have found a disease, and you do not know how to cure it. However, at the start you will not be able to find out many diseases which are hard to find the cure for, if the diagnosis equipment is not good enough, as you can not detect the disease in the first place.
Build as many rooms as possible in the beginning, as it allows for you to get the best positioning, as you do not always think straight with a full hospital. You may need a loan, but do not worry, as long as you do not go too far into debt, you will survive.
You want to hire, a lot of doctors and nurses at the beginning, so that you can cope with the patient increase. It would be generally better to increase staff at the same percentage rate as the patients. However, this is quite hard, as you have to be particularly wary of increases, which when happening slowly can deceive you into thinking that there is no trouble. By hiring plenty of staff in the first place, means that you will starts losing money at the beginning, but in my experience, by the time you are wildly in debt, the hospital starts making money, and it pulls you out just in the nick of time. However, I doubt this method will be applicable in the later levels.
Have 1 of each accessory in each room, except maybe plants, because they take extra time to look after. For example, a computer in a research room, and a skeleton and bookcase in a training room, so that everything goes faster, so you can get more patients through in a set time.
Build a training room and train doctors early while the hospital is quiet. It's important to have enough surgeons, probably four if you have one operating theatre. Trained doctors are cheaper than bought in ones at the same
skill level. Use a good consultant for the training, he will pass on any skills he has to his pupils but only if they learn them before becoming consultants, it's not possible to train consultants in new skills.
Build a research room early with enough space for later additions. A computer and atomic analyzer become available later on. At the start heavily bias research to cure and diagnosis equipment. Watch for when these are 100%
researched and move into drug and improvement research.
Have plenty of benches and drinks machines in busy areas. A drinks machine pays for itself when it's used twenty five times.
Always be on the look out for better staff. Replace existing staff by hiring newer better ones and sacking the existing ones. The staff do not hold a grudge, and if you get someone who is better in a certain area, don't think twice about sacking the other one.
You want staff to be tired as little as possible, so there are a number of things you can do to reduce this these are:-
Have large rooms with all the accessories. This will stop the staff getting demoralized, and they will not get as tired as quickly
Block off unused parts of buildings with benches to prevent handymen wandering around them and becoming cold, they will become demoralized and want pay rises. Consider blocking an area with a facility like a staff room or toilet if you aren't allowed to block it off with benches.
Have large staff rooms, and maybe a couple at either ends of the hospital. This will mean that they spend the shortest time tires. Have a Pool table, TV, and a Video game, when they are available, as they help increase the speed of recuperation
Take Staff out of rooms, where they are doing nothing, because this this will mean that they do not get tired, and will immediately go to any room where they are needed.
You might want to send staff to the stff room when theu reach 40% tiredness. This make
The first thing you want to do when you have an emergency is seen how many people there are and what treatment would be needed. If you have one of each treatment, then you will be able to cure 6-8 people at the pharmacy, or at a basic place like the slack tongue clinic, 6 people at the psychiatrist, and up to about 4 at the operating theatre. If the number exceeds this, you have 2 options, firstly you can refuse, or you can send x number of patients home. You will still get credit for the ones you treated, but will not have anyone die, so you will be still on for the £10,000 reward for not killing anyone in one year. If the treatment room is close to the helipad, you can increase the number, but if it is farther away, you should reduce it. Also the better your doctor/nurse is, the quicker he will be. After a while, you should be a good judge of what you can or can not handle, so this is just a help for when you are starting out.
There are two main ways to handle an epidemic, and this is to put the speed of the game on 1 as soon as the word epidemic is mentioned. You then see what it is, and, click to try a cover up. You then do a scan of all the hospital, and send home anyone who has the contagious disease. Then all you can do is pray. This does not always work, but it normally does for me. If you do have bucket loads of money, then you may prefer the fine, and reputation hit, as it can be a pain to do, and if it goes wrong, can have worse effects. Killing rats also seems to decrease the number of epidemics you get.
Secondly, you could try to cure them. If you have the available machines to do this, then it can be quite handy, but you must have an efficiently run hospital, an available staff.
There is a handy tip which has come in from Holgar. This is to find out what the disease is when you have an epidemic, and then reload a saved game just before it and kick everyone with it out. Because the emergencies which arise are set into the level files, you will gett he same disease, but becasue there is no one in your hospital with it, you will not have to cure anyone, and you will receive compensation. A nice way to earn a bit of cash.
Regularly page handymen to maintain your machines. You want to leave a gap of 5 or 6 between strength and times it can before you have the machine maintained. Whenever there is an earthquake warning, check all machines are not close to the end, as an earthquake can add up to 6 uses onto a machine, which may destroy it. In an emergency, you may want to replace the machine, just to be safe.
Firstly, you can simply ignore them, and let them go about there business. They should have little effect on your reputation.
Secondly, you can try to kill as many, which will give you a chance at winning the rat prize, and going to the secret level. If you do, you should press one as soon as you see a rat, so that they are easy to hit. You should then kill them , and if you have killed them indoors, put a handy man over their dead body, so people do not throw up when they see their dead bodies. Killing rats also seems to reduce the number of epidemics you get.
Whenever someone famous wants to visit, always let them, as it is very hard not to get their approval, so you will normally always be given a cash grant. If your place is in a total disorder, you may want to turn them down, but by continuing to refuse, will increase the chance of them coming on a surprise visit.