
To enable ER calls in Project Hospital, you must first ensure that you have a fully functioning ER clinic. This includes having an on-call doctor and nurse station, as well as a trauma room and observation room. You must also ensure that your ER clinic operates 24/7 by assigning staff to the night shift. Once your ER clinic is fully functional, patients may randomly collapse in the clinic and be transferred to a Trauma Centre for stabilisation and further diagnosis. You must also ensure that you have unlocked ambulances and that your insurance companies will send you emergency patients.
| Characteristics | Values |
|---|---|
| How to enable ER calls | Build a fully functioning A&E/ER clinic with an on-call doctor and nurse station, a trauma room, and an observation room. |
| Ambulance calls | Depend on patients from insurance companies and are unlocked by placing the first ambulance. |
| Insurance company objectives | Ambulance calls are activated after passing objective number 7. |
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What You'll Learn

Ensure you have an on-call doctor and nurse station
To enable ER calls in Project Hospital, you need to ensure that you have an on-call doctor and a nurse station. These are essential for supplying staff to the trauma and observation rooms.
The on-call room and nurses' station are work stations for doctors and nurses during their shifts. They are not break rooms. In these rooms, staff can review and write in patients' journals and perform other administrative tasks.
To ensure your on-call room and nurses' station are functional, you need to assign staff to them. You will need at least one doctor and one nurse. You can assign staff to the night shift by clicking on the moon icon at the bottom of the management view. You can also assign staff to the night shift by clicking on the staff member's profile and selecting the shift option.
It is important to note that the on-call room and nurses' station should not be shared rooms. While some sources suggest that you can partition these rooms to be used by multiple departments, others claim that this is not an effective use of space and resources.
Once you have a fully functioning A&E/ER clinic, patients may randomly collapse and be transferred to a Trauma Centre for stabilisation and further diagnosis. Your on-call doctors and nurses will then be able to respond to these emergency situations.
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Build a trauma centre
Building a trauma centre in Project Hospital is a challenging task that requires careful planning and significant resources. Here is a step-by-step guide to help you build a successful trauma centre:
Planning and Prerequisites:
Before constructing your trauma centre, it is essential to ensure your hospital is financially stable and capable of treating patients effectively while maintaining a high prestige rating. It is also advisable to have hospitalisation enabled for at least one speciality ward before building your A&E/ER. Additionally, you should have a fully functional A&E/ER clinic, operating 24/7 with the necessary staff, including night staff.
Location and Layout:
When establishing your trauma centre, consider its location and layout. You can expand your hospital by adding a new plot, matching the current layout, and centring it on the ambulance loading zone. While the game suggests a default location, you can customise this by selecting the "Ambulance unloading" zone in Building mode and placing it on your preferred spot. Ensure you have wide hallways to accommodate stretchers, and don't be afraid to make them bigger.
Equipment and Facilities:
Trauma centres require various equipment and facilities to function effectively. Include essential items such as lights, anaesthesia, Fast USG, and sinks. You can save costs by having one sink and Fast USG machine serving multiple beds. Stretcher objects are necessary to transport patients within the hospitalisation wing. Additionally, consider the number of beds you will need—a minimum of three trauma centre beds is recommended.
Staffing:
Trauma centres demand highly skilled and experienced doctors and nurses, which can be costly. Ensure you have sufficient staff to cover all shifts, including night shifts. On-call doctors and nurses are crucial for supplying staff to the trauma and observation rooms.
Ambulance Services:
Ambulance calls depend on patients from your insurance companies. Placing the first ambulance will unlock ambulance calls, although it may take some time for cases to appear. As you progress, you may acquire additional trauma rooms to accommodate patients arriving via ambulance or helicopter.
Patient Management:
Trauma centres deal with patients in critical condition, who may collapse unexpectedly. The trauma on-call doctor will assess and stabilise patients before transferring them to the appropriate department or ICU if their condition requires further treatment. Be prepared to expand your ICU capacity to handle the influx of critical patients.
By following these steps and adapting to the challenges that arise, you can successfully establish and manage a trauma centre in Project Hospital.
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Check your insurance company contracts
To enable ER calls in Project Hospital, it is important to check your insurance company contracts and understand their requirements and impact on ambulance calls and emergency services.
Firstly, identify the insurance companies you are working with by locating the bottom number or ambulance icon for each insurance company on your hospital management card. This information is crucial as it determines the specific requirements and objectives you need to meet.
Each insurance company will have certain objectives that need to be achieved to unlock ambulance calls and critical patient cases. These objectives often involve reaching specific milestones in hospital development, such as placing the first ambulance or achieving hospitalization in a particular department like General Surgery. Completing these objectives will trigger the activation of ambulance calls and emergency responses.
It is worth noting that the timing of these events can vary. Sometimes, it may take up to a day for the first emergency cases to appear even after meeting the requirements. This aspect of the game is expected to be improved in future patches, streamlining the process and reducing potential delays.
Stay mindful of the game mode you are playing, as this can impact the availability of ambulance calls and insurance company objectives. In Sandbox mode, for example, you may have the option to unlock all departments, including ambulances, from the beginning, which can affect the progression and availability of certain features.
By carefully reviewing your insurance company contracts and understanding their objectives, you can strategically work towards unlocking ER calls and enhancing your emergency services in Project Hospital.
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Unlock ambulances
To unlock ambulances in Project Hospital, you need to have hospitalization unlocked for at least one speciality department. This can be done by building one of the following departments: General Surgery, Cardiology, Internal Medicine, Neurology, or Orthopedics. Once the department is built, you need to open it and accept the insurance of the department. This will unlock the insurance company, which you can then activate to work towards the next objectives.
The ambulance calls in the game are dependent on patients from your insurance companies. To unlock ambulance calls, you need to place the first ambulance and sometimes it takes a day for the first cases to appear. This feature is expected to be improved in the next patch.
It is also important to note that you should try to have night staff for your A&E department to function 24/7. Ideally, you should unlock ambulances from a speciality insurer around the same time you complete your A&E department.
To check if you have unlocked ambulances, look at the objectives for each department on the left side of the screen. If none of the objectives mention buying an ambulance, you still have more objectives to complete.
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Assign staff to the night shift
In Project Hospital, the night shift is for hospitalisation—when hospitals work 24/7 to accept emergency ambulances and keep hospitalised patients stable. To assign staff to the night shift, follow these steps:
- Ensure you have the correct department selected. You can do this by going to the department control menu and selecting the workspace you want to fill.
- Go to the management mode by clicking on the gear icon in the upper left corner of the screen.
- Find the "Rooms" option in the ward and click on the icon.
- A window will pop up where you can browse through candidates and choose the appropriate staff.
- To assign staff to the night shift, look for the sun and moon icons. Click on the moon icon to hire staff for the night shift. You can also use these icons to switch between shift modes.
- Another way to assign staff to the night shift is by going to the staff hiring screen. Here, you will see icons to set day and night shifts.
Remember that for the emergency department, you need an on-call doctor and nurses' station to supply staff for the trauma and observation room. Additionally, make sure to consider the qualifications and additional traits of the candidates when hiring for the night shift.
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Frequently asked questions
To enable ER calls, you must first ensure that you have a fully functioning A&E/ER clinic. This includes having an observation room, a trauma room, a nurses' station, and an on-call area. Once you have the necessary components, you can start receiving ER calls and responding to trauma cases and emergency resus situations.
There could be a few reasons why you are not receiving ambulance calls. Firstly, check if you have unlocked ambulances and placed them correctly within the hospital zone. Secondly, ensure that your Trauma Center (TC) is built and open by checking for green checkmarks in the Hospital section of the Management mode. Finally, verify that your Insurance Company contracts include sending emergency patients to your hospital.
The Emergency department serves as the main entry point of the hospital, providing acute care for patients. It allows you to respond to trauma cases and stabilize patients before transferring them to the relevant ward or another hospital if necessary.











































