Respiratory therapy supplies follow the same curve every year. Nebulizer kit usage doubles between October and February in urgent care and pediatric clinics, oxygen tubing and cannulas move with it, and the same distributors that supply hospitals see their allocation notices go out in December. A clinic that sets par levels in September buys at normal pricing and normal lead times. A clinic that reorders in January competes with every emergency department in the region.
What is actually in a respiratory therapy consumable order
The line items are simple, and every one of them is single-patient use:
- Nebulizer kits. A cup, a mouthpiece or mask, a T-piece, a reservoir tube, and supply tubing, typically seven feet. Adult and pediatric masks are separate SKUs, and pediatric character masks are worth stocking if you see children.
- Nasal cannulas. Adult, pediatric, and infant sizes, with standard or high-flow tubing lengths. Soft-tip cannulas reduce complaints on extended use.
- Oxygen tubing and connectors. Extension tubing in 7, 25, and 50 foot lengths, swivel connectors, and Christmas tree adapters.
- Simple and non-rebreather masks. Adult and pediatric, with and without reservoir bags.
- Spirometry and peak flow mouthpieces and filters. Disposable, one per patient.
- Suction supplies. Yankauer tips, suction canisters, and connecting tubing for clinics that keep a suction unit on the crash cart.
Kits and cannulas are latex-free from every manufacturer worth stocking, and the box should say so. If a product page does not state latex-free, ask before you buy.
Single-patient use is the rule, and it drives the count
Nebulizer kits, masks, cannulas, and tubing are labeled for single-patient use. A nebulizer cup that goes home with the patient is gone from inventory; a cup used in the clinic is discarded after that visit. That means consumption tracks visit volume almost one for one, and the par level has to be built on visits, not on last year's purchase orders.
A second point on delivery method: guidance on nebulized medication delivery favors a mouthpiece over a mask when the patient can use one, because a mask lets more aerosol escape into the room. Stock more mouthpiece kits than mask kits for adults, and reserve masks for pediatric and patients who cannot hold a mouthpiece.
Setting winter par levels
Take the busiest four weeks from last winter, count treatments and oxygen starts, and multiply:
| Item | Par formula | Example, 60 treatments per week peak |
|---|---|---|
| Nebulizer kits, adult mouthpiece | 1.2 x peak weekly treatments, two weeks on hand | 144 kits |
| Nebulizer kits, pediatric mask | 0.5 x peak weekly treatments, two weeks | 60 kits |
| Nasal cannulas, adult | 0.3 x peak weekly visits needing oxygen, two weeks | 36 cannulas |
| Oxygen extension tubing | 1 per cannula, plus 10 percent | 40 lengths |
| Peak flow mouthpieces | 1 per test, two weeks | Count from schedule |
Pediatric clinics should weight the pediatric mask line higher and add infant cannulas; urgent care should carry more adult mouthpiece kits and a small stock of non-rebreather masks for the patient who arrives in distress. Round up to case quantity. Nebulizer kits ship 50 per case from most manufacturers, cannulas 50 per case, tubing 25 or 50 per case. Two weeks of peak demand on hand plus a reorder point at one week keeps a clinic covered even if a shipment slips.
Lead times move in December
Respiratory consumables are not exotic, but they are made by a handful of manufacturers and shipped through the same national distributors that hospitals draw down first. When a large system pulls forward its winter buy, small clinics see the lead time on cannulas jump from three days to three weeks. Keystone shows a stated lead time on every line in the respiratory therapy category and sources across a 490-plus distributor network, so a backordered cannula at one supplier does not stop the order.
Ask for equivalents at quote time. A different brand of adult nebulizer kit with the same cup volume and tubing length is a substitute your clinical staff can approve in advance, and having that approval on file is what keeps December calm.
One order, one delivery
Respiratory consumables belong on the same purchase order as exam gloves, masks, and disinfecting wipes, because the same winter surge drives all of them. Keystone quotes the full list the same business day, ships in-stock items from Edina, Minnesota in one to three business days, and offers Net 30 for approved accounts. A standing order set to your winter par levels, with a step-down in March, removes the reorder from the front desk entirely.
Browse respiratory therapy supplies with lead times, or contact the sales department with your treatment counts and we will build the par list with you.
Sources
- https://respiratory-therapy.com/department-management/clinical/nebulized-medication-delivery-in-the-intensive-care-unit/
- https://www.mountainside-medical.com/collections/nebulizer-kits
- https://www.mountainside-medical.com/products/micro-mist-nebulizer-with-mouthpiece-and-reservoir

