Thanks! That's actually really useful feedback. At the moment you're essentially managing the department rather than directly treating every patient, so you're monitoring flow, taking over triage/reassessment where needed, managing staffing and capacity, opening/closing areas, managing ambulance divert, responding to pressure, admissions/boarding, investigations, handovers, shift objectives, etc.
But your comment has made me realise the game probably doesn't do a good enough job of actually explaining that or giving you direction when you first start 😭
v1.3 adds things like the Bedside Board, shift objectives, handovers and ambulance pre-alerts which give you more to actively monitor/manage, but I definitely think I need to look at making the player's role and goals much clearer. Thanks for the feedback!