Abstract: The combination of a tracheostomy bib and a pipe support collar includes a front wall connected to a back wall together defining a pocket which includes a pocket opening and a bottom. The front wall and back wall are connected at a right side and a left side and at the bottom to form an enclosed pocket having a pocket opening. The front wall includes an outer top edge which includes a frame for maintaining the pocket opening in an open position. The bib further includes supports for fastening the bib to the pipe support collar.