Ostomy and Urostomy Supplies for Skilled Nursing, DME, and Home Care Providers
Geriatric Medical supplies ostomy and urostomy products in wholesale volumes to skilled nursing facilities, long-term care communities, DME/HME providers, and home care agencies nationwide. Our catalog includes one-piece and two-piece pouching systems, urostomy pouches, skin barriers and flanges, pastes, powders, and barrier rings, adhesives and removers, cleansers and deodorants, post-op kits, and fecal management systems and rectal tubes, so your team can source complete ostomy care from one distributor.
Whether you're supplying residents with established ostomies, supporting new post-surgical patients, or fulfilling recurring ostomy orders for patients at home, our team can help you match pouching systems and accessories to each patient's needs and your order volume.
Ostomy Supply Questions from Providers
What ostomy and urostomy supplies does Geriatric Medical carry?
We carry the full range of ostomy care products: one-piece pouches, two-piece pouches, two-piece flanges and skin barriers, one-piece and two-piece urostomy pouches, skin barriers, pastes, powders, and rings, adhesives and adhesive removers, cleansers and deodorants, ostomy accessories, post-op ostomy kits, fecal management systems, and rectal tubes. Products are available in box and case quantities for facility and provider ordering.
What's the difference between colostomy, ileostomy, and urostomy pouches?
The pouch type depends on what the stoma drains. Colostomy pouches collect stool from the large intestine and are available as closed-end pouches, which are removed and discarded when full, or drainable pouches, which can be emptied. Ileostomy output from the small intestine is typically more liquid, so drainable pouches are the standard choice. Urostomy pouches collect urine and have an anti-reflux valve and a drain spout or tap, which can also connect to a night drainage bag for overnight use.
What's the difference between one-piece and two-piece ostomy systems?
A one-piece system has the skin barrier and pouch joined together, so the entire unit is removed and replaced at each change. It's simple to apply and low-profile under clothing. A two-piece system has a separate skin barrier, also called a flange or wafer, that stays on the skin while the pouch attaches to it and can be changed on its own. Two-piece systems allow pouch changes without removing the barrier, which can reduce skin irritation for patients who need frequent pouch changes.
Are two-piece ostomy pouches and flanges interchangeable?
No. Two-piece pouches and skin barriers must come from the same manufacturer and product line, and they must share the same flange size, sometimes called coupling size, to connect securely. Flange sizes are typically listed in millimeters. When ordering two-piece supplies, match the pouch to the patient's existing barrier by manufacturer, product line, and flange size to avoid leaks.
How do we choose the right skin barrier opening size?
The barrier opening should fit closely around the stoma without touching it, so stool or urine can't reach the surrounding skin. Skin barriers come as cut-to-fit, which staff trim to the measured stoma size, pre-cut in standard sizes, or moldable, which stretches to fit the stoma shape. Stomas should be measured with a stoma measuring guide, and new stomas typically shrink in the weeks after surgery, so they should be remeasured regularly during that period.
What's the difference between flat and convex skin barriers?
Flat skin barriers work well for stomas that protrude above the skin with even surrounding skin. Convex barriers have a curved shape that presses gently around the stoma to help it protrude and create a better seal, and they're typically used for stomas that are flush with the skin or retracted, or where skin creases cause leaks. Convexity should be selected based on a clinician's or WOC nurse's assessment.
How often should ostomy pouches and skin barriers be changed?
Skin barriers are commonly changed every three to seven days, depending on the product, the type of stoma output, and how well the seal holds. Barriers should be changed sooner if there's leakage, itching, or burning under the barrier. Drainable pouches are emptied when they're about one-third to one-half full, and closed-end pouches are replaced when full. Follow the manufacturer's guidance and the patient's care plan for change schedules.
What are ostomy paste, stoma powder, and barrier rings used for?
These accessories help create a secure seal and protect the skin around the stoma. Ostomy paste fills gaps and uneven skin around the stoma, though it's not intended as an adhesive. Stoma powder absorbs moisture on weepy or irritated skin so a barrier can adhere. Barrier rings are moldable seals placed around the stoma to fill contours and help prevent leaks. Using the right accessory for each patient can extend wear time and reduce skin problems.
How do adhesive removers help protect peristomal skin?
Adhesive removers loosen the bond between the skin barrier and the skin, so the barrier can be removed without pulling or stripping the skin. This is especially important for older adults with fragile skin, since repeated removal can cause skin tears and irritation. Adhesive removers are available as wipes and sprays, and the skin should be clean and dry before a new barrier is applied.
What's included in a post-op ostomy kit?
Post-op ostomy kits typically include a pouching system designed for use after ostomy surgery, often with a larger capacity, clear film for stoma observation, and a cut-to-fit barrier to accommodate a new stoma that's still swollen. Kit contents vary by manufacturer, so check each product's listing for exact components.
What are fecal management systems used for?
Fecal management systems are used for bedbound or immobile patients with liquid or semi-liquid stool to divert and contain stool in a collection bag. They help protect the skin from moisture-associated skin damage, reduce the risk of contaminating wounds, and lower the workload of frequent linen and brief changes. These systems are placed and managed by trained clinical staff following the manufacturer's instructions and the physician's order.
How can we control ostomy odor for residents and patients?
Most modern ostomy pouches are made with odor-barrier film, so odor typically comes from a leak, a poor seal, or emptying the pouch. Ostomy deodorants, which are added to the pouch or used as room sprays, help neutralize odor during pouch emptying and changes. Pouches with built-in filters also release gas while filtering odor. Persistent odor is often a sign the seal needs attention.
Can we order ostomy supplies through EDI or a punchout catalog?
Yes. Geriatric Medical supports EDI ordering and punchout catalog integration for accounts that manage purchasing through their own procurement, EHR, or ERP systems, so ostomy and urostomy supplies can be ordered the same way as the rest of your catalog without manual re-entry.