In the UK sites should be following
HTM 06-01 to ensure there is sufficient socket-outlets within easy reach of the medical equipment (clause 15.4). The use of extension cables should be precluded unless a full assessment following 60601-1 has been performed. There is even a separate Appendix 4 on this subject.
Field testing is done following IEC 62353, which as you mention allows a minimum of 200mA for the protective earth resistance measurement. Although 25A may overcome oxidisation it can also hide faults. Most medical electrical test equipment will meet IEC 61557-16 and therefore will use 200mA minimum, but may offer higher currents up to 25A. However, a meter such as the Rigel 288 or 62353 use a short high current pulse at the start of the test to overcome oxidisation resistance. Most manufacturers of medical equipment use the 200mA setting for field use. Using 25A accidentally on a part not intended to be protectively earthed can damage the equipment.