Hospital Roleplay and You

[Ryan]

12 hours ago, Allegra said:

Hello!

 

I like the direction you're taking this in tbf, it's reminiscent of how it was a couple of years ago as you say. Also fully, one hundred percent agree that there has to be a balance between making things fun and realistic - I don't think anyone should expect actual trained medical professionals, but I know the old guides were thorough enough to provide a realistic enough experience for everyone.

 

I think, as with most things, it's best just to see how things go and be flexible too. Agree as well on having events, and encouraging "regular checkups" perhaps like a GP surgery should provide enough RP. Perhaps even a guide on common ailments, showing people that they can easily roleplay having "something" then coming along, getting diagnosed and receiving treatment of some kind? Just thinking out loud here.

 

Regardless, best of luck with everything, looking forward to seeing y'all in game

Thank you for your feedback - I like the idea of having a public guide for common ailments!

 

11 hours ago, Venta said:

Really enjoyed hospital roleplay back then, looking forward to joint projects as we tried doing before! 

Hopefully we'll have some sort of DOH within' the government to support you.

 

Thank you. I know the gov seems to be focusing more on municipal leadership rather than state, but I'd certainly appreciate throwing in a department of health. That'd create another level of realism and create more roleplay opportunities.

 

11 hours ago, Mikee said:

I really enjoy your ideas, it will be cool.
Plus, with RageMP we can do a lot of things. Actually it would be nice if the hospital could draw up and send medical reports directly In-Game. A doctor conducts a visit ( after an accident, after a period of rehabilitation, to access to a faction recruitments etc.. ), and suddenly releases a medical report which affirms the conditions of the subject, or perhaps the injuries sustained. This would bring a lot of activity more and a lot of cool scenarios.

I don't know if we will have access to that sort of system in-game, but we have in the past - and will continue to - keep track of the medical records of all of the players we interact with on our forum. That way, we can continue to track patient progress, confirm patient records for LEOs where they may need them, etc.

 

11 hours ago, Venta said:

 

We did medical employee check-ups several times back on SAMP, turned out to be fun roleplay for everyone.  Could come along with scripts as narcotics tests etc.

Yep - our patient records include a form for tracking primary care like checkups. It's something we tried to lean more heavily in the later years by creating locations like the Pathology Center at CGH with primary care rooms. We could roleplay checking on things like minor injuries, testing for STDs, or even general wellness checks. Some of the interiors we're looking at have similar concepts. At any rate, we'll definitely have the option for roleplaying primary care medicine.

 

9 hours ago, Freedom Fighter said:

Hospital rp would b cool

You know it!

 

9 hours ago, mhrhan said:

Idea is cool. But, the problem is, people getting shot frequently (e.g cops and gang rpers) will eventually get bored of this roleplay. Wouldn't it cause minor (or major) issues from your side?

 

 

 

8 hours ago, Allegra said:

I do remember this being a bit of an issue a couple of years ago; the fact that gun shot wounds were the main cause of hospital inpatients was probably a bit boring and repetitive for the FD staff as well. I think back then, the FD member would essentially PM the player to ask if they wanted a more in-depth or expedited RP experience - this wasn't just for GSWs, it was more of a courtesy because of RL time constraints like people needing to go eat and so on. A realistic process often took upwards of an hour, after all.

 

Would be keen to hear FD's thoughts on how this sort of thing would be handled for sure. 

 

5 hours ago, LordSpyx said:

 

 

Hello there!

Back on SAMP in the last couple years we didn't have hospital staff, so everything had been NPC'd at the hospital with a few lines explaining what would happen at the hospital itself. (As long as everyone involved agreed to it of course).

 

Having a functioning hospital faction was a direct request from Server Management so that the LSFD can focus on pre-hospital care. Meaning once they've dropped the patient off at the hospital and give information to the staff there, they can return to their ambulance and carry on with the rest of their shift. That is when hospital staff will take over. So as long as there are members of the hospital faction on duty, there will be no need for NPC'd roleplay. You will ideally have roleplay from the time Firefighter-EMTs / Firefighter-Paramedics arrive on scene, all the way through your hospital visit.

 

On SAMP we ran into the issue of people calling 911 from the hospital requesting FD to help them with injuries, which was not realistic at all. You're at a hospital, so you'd be in better hands there with people who have the proper equipment to do a full evaluation and give you surgery or stitches if needed. Having a hospital faction should combat that as more players get used to having hospital staff again.

 

Firefighters can focus on fighting fires and responding to accidents or other scenes requiring pre-hospital medical attention to stabilize patients, and then the hospital staff can give them the thorough checkup and treatment after the fact.

 

As far as repetitive or "boring" roleplay, I can say after nearly three years in the faction, I handled hundreds of GSW scenes. I never found it to be repetitive or boring, as no two people ever roleplay the same way. Each character is unique, they handle pain differently, and wounds are in separate locations. While on an out-of-character level people might feel it's monotonous to treat GSWs over and over again, it's not unrealistic to think that's what EMTs and hospitals deal with a lot in areas where violence is heavily prevalent in real life scenarios.

 

The reason we asked if people wanted to roleplay inside hospitals or skip after FD treated them, was due to server rules regarding NPC'd roleplay. All parties involved have to agree to it. It's not realistic for a Firefighter to go inside and treat the patient themself, and when you had bustling shifts it was a time issue on FD's side to have to explain a few hospital-oriented lines of roleplay. It was never personally my favorite thing to do, as it took time away from faction responsibilities.

 

With the hospital sub-faction joining us, I feel there will be a better balance across the board, and less NPC'd roleplay all around. This will break immersion less, and allow us to delegate our units where they're needed most!

 

It should also be noted that you can only join one side or the other. You cannot be in both the LSFD main-faction and hospital sub-faction at the same time, not even on separate characters. This is considered the same as not allowing anyone to join two LEO factions at one time. As Ryan said, each entity is owned and operated independently of one another on an in-character level. The hospital sub-faction has their own section on the LSFD forums, with their own recruitment information.

 

On these points about GSWs, I'll be honest: it did pose an issue for HS back in the day. People would get bored. We were able to start to take care of this problem by letting doctors do (unrealistic) things like patrolling in our blue "Delta" units or tagging along with the pre-hospital sector in ambulances. As we phased those practices out, we brought in new ones like using the pathology center and renovating our hospitals to create more variety.

 

While I agree with LordSpyx that each GSW and each player has its idiosyncrasies, it can be repetitive. Sure, some people were interested in roleplaying extensive organ damage, injuries to the spine, or going into cardiac arrest, but many wouldn't. That's why we allowed, in many cases, players to NPC their injuries' recoveries with "Dr. Smith." A simple /do, and boom - the patient was fixed. That's always been allowed - it's not novel. When we disallowed this practice, we made faction members and players unhappy. I intend to allow skipping hospital roleplay, but I also like the suggestion of allowing abbreviated hospital RP. That'd be a happy medium. With that said, some GSWs were fun to work with, but those who did not want to participate made the experience boring for everyone involved.

 

1 hour ago, Sheffield said:

It would help if roleplayers roleplay their falls, shots, car crashes that are roleplayed etc. so the hospital roleplay can continue! Not just a simple visit. I like your concept!

For sure! Car crashes, for example, provide ample RP for firefighters, paramedics, and hospital staff. The situation's resolution may take a long time to roleplay - off putting for many - but actually roleplaying these sorts of things create dynamic situations for everyone. Thank you for your feedback!

[i dont wanna od in LA]

Really cool idea, hope you guys take it far and provide some quality rp. 

[Ryan]

On 2/8/2022 at 9:08 AM, i dont wanna od in LA said:

Really cool idea, hope you guys take it far and provide some quality rp. 

Thank you :)

[Joe]

Looking forward to this and I'm happy to help out where I can.

[celestine]

On 2/9/2022 at 12:47 PM, Joe said:

Looking forward to this and I'm happy to help out where I can.

You should totally join! We need members that have the same drive we do.

[joxii]

Can I get some clarification on the fluidity of this process, are LSFD going to arrive to a privately-run hospital with a patient (if you are online) and you are going to treat them? Or are you going to be privately-run medical responders on par with LSFD? 

 

If the LSFD are treating a patient and bring them to a PRIVATELY ran institution, the liability from an IC-perspective is insane and you'd be sued for pretty much every possible thing in the world. Government responders wouldn't treat individuals via a private-medium.

 

I may be incredibly stupid and misinterpreting what the idea is.

Edited February 12, 2022 by owen

[Xanakin]

Short nurse clothing, everyday's Halloween.

Jokes aside, with the LSFD being a thing you could just do your own private hospital/doctors branch like you could on SAMP however you'll have to go through more official hoops this time around for the sake of realism.

[Ryan]

On 2/9/2022 at 12:47 PM, Joe said:

Looking forward to this and I'm happy to help out where I can.

Thank you!

 

4 hours ago, owen said:

Can I get some clarification on the fluidity of this process, are LSFD going to arrive to a privately-run hospital with a patient (if you are online) and you are going to treat them? Or are you going to be privately-run medical responders on par with LSFD? 

 

If the LSFD are treating a patient and bring them to a PRIVATELY ran institution, the liability from an IC-perspective is insane and you'd be sued for pretty much every possible thing in the world. Government responders wouldn't treat individuals via a private-medium.

 

I may be incredibly stupid and misinterpreting what the idea is.

Thank you for allowing me to clarify this point. We provide just hospital care. We do not go into the field. We have no plans to interact with a private ambulance service at this point. The LSFD will bring patients to us.

 

Let me explain further: I am modeling the hospital faction after Cedars-Sinai Medical Center. They are a non-profit, privately-run hospital in the Los Angeles area. While they are private, they still receive NIH funding for things like drug trials, research grants, and public health awareness campaigns. Cedars-Sinai also has a level 1 trauma center/emergency department in Beverly Hills. California law dictates that in a life-threatening emergency, ambulances - LAFD and private - must take patients to the nearest hospital that can handle their case (in less emergent cases, ambulances can give patients a choice of hospitals). Furthermore, Cedars-Sinai and other private and public institutions have worked with the LAFD on things like Advanced Provider Response Units - LAFD ambulances also staffed with a Nurse Practitioner. I don't know about the idiosyncrasies of this system - I could be mistaken, but I believe in general the LAFD does take patients to Cedar-Sinai's ED. I say all of this to demonstrate that a private hospital does not have a hard line around it that prevents any interaction with the government.

 

I intend to follow this model with the hospital faction: non-profit with government interaction. If this does, however, bring up issues of liability on an IC level, I would not be objected to modeling the faction after a public hospital in LA or doing a contract with the LSFD to allow them to send patients our way.

 

3 hours ago, Xanakin said:

Short nurse clothing, everyday's Halloween.

Jokes aside, with the LSFD being a thing you could just do your own private hospital/doctors branch like you could on SAMP however you'll have to go through more official hoops this time around for the sake of realism.

As of right now, there are no official hoops to jump through. I'm working on crafting as realistic a system we can expect on LS-RP that is still accessible to players. We've already got a prescription system and patient records system implemented in the script - one of the reasons why us being part of the LSFD on an OOC level is optimal. We're private only on an in-character level.

 

Edited February 12, 2022 by Ryan

[LordSpyx]

 

6 hours ago, owen said:

Can I get some clarification on the fluidity of this process, are LSFD going to arrive to a privately-run hospital with a patient (if you are online) and you are going to treat them? Or are you going to be privately-run medical responders on par with LSFD? 

 

If the LSFD are treating a patient and bring them to a PRIVATELY ran institution, the liability from an IC-perspective is insane and you'd be sued for pretty much every possible thing in the world. Government responders wouldn't treat individuals via a private-medium.

 

I may be incredibly stupid and misinterpreting what the idea is.

 

Private vs Public:

 

Spoiler

"What is the Difference Between a Public and Private Hospital?

 

A hospital can be a public or private institution, depending on how it is governed. If you would like to work in a healthcare setting and you are trying to differentiate between each of the hospitals that you can apply to, it is important to learn how care standards and settings can vary based on how the facility is managed and how it is controlled. Once you are able to identify the pros and cons of working in each of the hospitals, you will be equipped to decide if you want to be employed by a body controlled privately or publicly.

 

How Hospitals that Are Governed Publicly Operate

 

Any hospital that is said to be governed publicly is fully funded by the government and operates solely off of money that is collected from taxpayers to fund healthcare initiatives. Since the equipment, salaries, construction of new facilities, and prescriptions is paid for from a budget set by the local government, administrators will stay on top of spending and offer a limited set of services. Since costs tend to be lower in publicly operated hospitals, it is the best option for those who have restrictive insurance or who are not wealthy and able to pay for their healthcare out of pocket.

 

How Hospitals that Are Governed Privately Operate

 

Privately owned hospitals are funded and operated by the owner which is typically a group or an individual person. The owner of the facility will be in charge of setting the budget, managing finances, and ensuring compliance with strict municipal code, state law and federal regulations. The owner will also recruit staff, draft contracts with doctors, purchase the equipment, invest in maintenance, and control the services provided.

 

Private hospitals tend to be the preferred choice because they are not as limited in their budget and are known for quality service in which patients receive individual care and attention. Patients also do not have to spend long periods waiting to be seen because the number of patients per doctor is low. The cost of services in these settings tends to be much higher and attracts more a more affluent set of patients."

Source - https://www.healthcare-administration-degree.net/faq/what-is-the-difference-between-a-public-and-private-hospital/

 

The only difference is insurance of the customer and how the hospital is set to work. You cannot force someone to go to the hospital if they do not want to go, and those who are unconscious and being transported, I'm sure would rather be alive and have a higher bill than to just be left to die because we stopped to check their pockets for insurance cards and which hospitals would be better.

 

I will reiterate: hospital is overseen by LSFD Rank 1 on an OOC level only. This is per Management's request. We do not work directly with them or have any association with them on an in-character level. This was to avoid having to re-script an entirely new faction at launch, and to make sure they have a proper structure. This is to provide hospital roleplay without having to take time away from FD, who are not qualified to be doctors or nurses. FD can focus on pre-hospital care and firefighting, while the hospital staff takes over the roleplay from the hospital.

 

Any connection between the two is strictly OOC.

 

We as LSFD will not be employing nurse practitioners. We are focusing on Firefighter-EMT and Firefighter-Paramedics. We are responsible for pre-hospital care. Per policy, as Ryan stated, we go to the nearest hospital unless the patient is not in critical condition and can give a preference. You cannot be a medic without being a firefighter, as we are the Fire Department.

 

There are many privately owned hospitals. Some departments don't even transport patients, they treat them and then have the hospital's ambulances come and pick them up. This isn't the case for LAFD, but they aren't going to not transport a critically injured person to a hospital because it's privately owned and not public. You can't just simply open a hospital without going through a strict qualification system. (Unless you're running it out of your basement illegally).

 

It takes a hot minute to construct a hospital of that size, and you need to meet all of the requirements, have all of the certifications, the money, etc.

 

We don't charge for ambulance rides to the hospital, and once they're in the care of the hospital, it's between them and hospital staff for billing. We do not charge for pre-hospital care as the fire department. How the billing and everything else works has zero to do with us.

[Sparkles]

Y'all gonna have a psych ward? 

[Sparkles]

If someone on the server wants to open their own private clinic - is FD as a faction going to object?

 

Also - why the decision to to private instead of a county hospital? 

[LordSpyx]

46 minutes ago, Fiendfyre said:

If someone on the server wants to open their own private clinic - is FD as a faction going to object?

 

Any private clinic being introduced to the server will need to go through some other scheme, such as a faction or company scheme. Which will need to be met with approval by the appropriate LS-RP Staff members. The hospital sub-faction has been put into place as a direct request from Server Management. It would ultimately be up to them on whether such private clinics could open or not. The LSFD has no say in which factions or companies can or cannot open.

[Ryan]

8 hours ago, Fiendfyre said:

Y'all gonna have a psych ward? 

I'd like to eventually, yes. Right now, we have a number of specialties and more focused fellowships ready for members to participate in. One of those is Clinical Psychiatry, but there are currently no people in that specialty. Those who join or transfer can decide to focus on psychiatry.

 

8 hours ago, Fiendfyre said:

Also - why the decision to to private instead of a county hospital? 

As for point two, I decided to go with private hospital for a few reasons. First, my personal knowledge of and limited experience with hospitals in Los Angeles are Cedars-Sinai and Keck USC. Lacking a university to attach the hospital to, I decided to model the faction after the former. I have even less knowledge about public hospitals in LA. Second, it reiterates the point that we are fully independent from the LSFD on an in-character level. State-run hospital under the LSFD faction can perhaps blur that line. Third, all of the best hospitals in the greater Los Angeles area are private hospitals. Even those associated with University of California medical schools have private institutions (UCLA Ronald Reagan is private, Olive View-UCLA and Harbor-UCLA are public; UCI Medical Center seems to be private).

Edited February 13, 2022 by Ryan

[joxii]

16 hours ago, LordSpyx said:

 

 

Private vs Public:

 

  Reveal hidden contents

"What is the Difference Between a Public and Private Hospital?

 

A hospital can be a public or private institution, depending on how it is governed. If you would like to work in a healthcare setting and you are trying to differentiate between each of the hospitals that you can apply to, it is important to learn how care standards and settings can vary based on how the facility is managed and how it is controlled. Once you are able to identify the pros and cons of working in each of the hospitals, you will be equipped to decide if you want to be employed by a body controlled privately or publicly.

 

How Hospitals that Are Governed Publicly Operate

 

Any hospital that is said to be governed publicly is fully funded by the government and operates solely off of money that is collected from taxpayers to fund healthcare initiatives. Since the equipment, salaries, construction of new facilities, and prescriptions is paid for from a budget set by the local government, administrators will stay on top of spending and offer a limited set of services. Since costs tend to be lower in publicly operated hospitals, it is the best option for those who have restrictive insurance or who are not wealthy and able to pay for their healthcare out of pocket.

 

How Hospitals that Are Governed Privately Operate

 

Privately owned hospitals are funded and operated by the owner which is typically a group or an individual person. The owner of the facility will be in charge of setting the budget, managing finances, and ensuring compliance with strict municipal code, state law and federal regulations. The owner will also recruit staff, draft contracts with doctors, purchase the equipment, invest in maintenance, and control the services provided.

 

Private hospitals tend to be the preferred choice because they are not as limited in their budget and are known for quality service in which patients receive individual care and attention. Patients also do not have to spend long periods waiting to be seen because the number of patients per doctor is low. The cost of services in these settings tends to be much higher and attracts more a more affluent set of patients."

Source - https://www.healthcare-administration-degree.net/faq/what-is-the-difference-between-a-public-and-private-hospital/

 

The only difference is insurance of the customer and how the hospital is set to work. You cannot force someone to go to the hospital if they do not want to go, and those who are unconscious and being transported, I'm sure would rather be alive and have a higher bill than to just be left to die because we stopped to check their pockets for insurance cards and which hospitals would be better.

 

I will reiterate: hospital is overseen by LSFD Rank 1 on an OOC level only. This is per Management's request. We do not work directly with them or have any association with them on an in-character level. This was to avoid having to re-script an entirely new faction at launch, and to make sure they have a proper structure. This is to provide hospital roleplay without having to take time away from FD, who are not qualified to be doctors or nurses. FD can focus on pre-hospital care and firefighting, while the hospital staff takes over the roleplay from the hospital.

 

Any connection between the two is strictly OOC.

 

We as LSFD will not be employing nurse practitioners. We are focusing on Firefighter-EMT and Firefighter-Paramedics. We are responsible for pre-hospital care. Per policy, as Ryan stated, we go to the nearest hospital unless the patient is not in critical condition and can give a preference. You cannot be a medic without being a firefighter, as we are the Fire Department.

 

There are many privately owned hospitals. Some departments don't even transport patients, they treat them and then have the hospital's ambulances come and pick them up. This isn't the case for LAFD, but they aren't going to not transport a critically injured person to a hospital because it's privately owned and not public. You can't just simply open a hospital without going through a strict qualification system. (Unless you're running it out of your basement illegally).

 

It takes a hot minute to construct a hospital of that size, and you need to meet all of the requirements, have all of the certifications, the money, etc.

 

We don't charge for ambulance rides to the hospital, and once they're in the care of the hospital, it's between them and hospital staff for billing. We do not charge for pre-hospital care as the fire department. How the billing and everything else works has zero to do with us.

 

Appreciate the response, cleared up my concerns!

[Arivere]

How would someone go abouts applying for a position at the hospital?