I seen people having this problem awhile back and now I am experiencing it, when the nurse has the goal to transfer case to doctor, there is no doctor on staff whatsoever and that goal never get completed I really hate for this game to be goal driven so much. I do not think EA/Maxis thought this game through enough.
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with one doctor always available at the hospital
so if you don't want to use it, then there is the only option that you omit that goal
i managed it to get to L10 with that doctor leaving in the morning, so you probably can too