Pre-Removal Requirements
- Confirm the OR is fully taken offline from the active surgical schedule.
- Verify all surgical cases have been relocated to alternate ORs or external facilities.
- Coordinate with infection control on terminal cleaning requirements before decommissioning begins.
- Confirm the utility isolation plan with facilities: gas, electrical, medical gas, HVAC.
- Notify biomedical engineering of the decommissioning timeline.
- Obtain internal asset-disposal approval per facility policy.
- Identify all network-connected devices and initiate the IT data-review process.
- Confirm insurance certificates for the removal contractor.
- Brief the removal team on facility access protocols, badge requirements, and traffic routes.
- Confirm loading-dock availability and elevator scheduling for removal day.
Equipment Categories
- Surgical tables and patient positioning systems.
- Ceiling-mounted surgical lights — disconnect from ceiling mount and cap electrical.
- Overhead equipment booms and service pendants — confirm utility capping plan.
- Laparoscopic and video-integration towers.
- Electrosurgical units and specialty surgical devices.
- Anesthesia machine — confirm gas-line disconnection and purge protocol.
- Patient monitoring equipment.
- OR furniture: back tables, ring stands, instrument carts, kick buckets.
- Sterilization case carts and transport equipment.
- Cable management, wall-mounted accessories, and architectural equipment.
- Surgical instruments, if included in scope.
Documentation
- Complete asset-inventory list signed off by supply chain and biomedical engineering.
- Disposal authorization form per facility policy.
- Purchase agreement or transfer documentation from the buyer.
- Payment confirmation received before removal begins.
- Chain-of-custody documentation completed for every asset removed.
- IT confirmation of data-review completion for all network-connected devices.
- Insurance certificate from the removal contractor on file.
- Fixed-asset ledger update initiated with disposal records.
- Biomedical engineering sign-off on removal of all clinical devices.
Safety and Compliance
- Confirm all anesthesia gas lines are properly disconnected and capped by qualified personnel.
- Ensure boom-system utility lines are isolated before disconnection begins.
- Verify the removal team follows infection-control protocols for equipment with potential patient contact.
- Confirm removal routing avoids active sterile fields in adjacent ORs.
- Ensure heavy-equipment movement routes are identified and communicated to facilities.
- Confirm removal is completed before contractor demolition or construction begins.
- Retain a copy of all removal documentation for the minimum six-year audit-retention period.
