Site survey comes first
Before any equipment decision is final, measure the room: usable floor area, ceiling height, door and corridor widths along the full delivery path, floor loading capacity, and the location of the nearest suitable electrical supply.
Delivery access is the most frequent cause of rescheduled installations. A device that fits the room but not the corridor is a delayed project.
Clearance and patient movement
Plan clearance for a wheelchair to approach, rotate and transfer on the side the therapist works from. Account for a second staff member during transfers and for family members observing sessions.
Electrical and environmental requirements
Confirm voltage, phase, dedicated circuit requirements and grounding with the manufacturer's installation documentation. In regions with unstable supply, plan conditioning or protection equipment in the same budget line as the device.
Staffing and supervision
Decide who is trained, who is the backup, and what happens when the trained therapist is absent. A single trained operator is an operational single point of failure; certify at least two, and schedule recertification.
Scheduling and utilization
Model the session block realistically: setup, transfer, active session, transfer out, cleaning and documentation. Utilization projections built only on active session time consistently overestimate capacity.