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Early Intervention Speech Therapy

Getting Started in EI Home Care

Published June 15, 2009 4:35 PM by Stephanie Bruno
A few weeks ago a reader published a comment on this blog asking for suggestions regarding things to help get a young therapist, who is just beginning in EI, started in the field and I immediately thought—what a wonderful idea for a post! Even if you've been doing this for decades, I hope you can gain a few helpful tips and please write in your own tricks of the trade and the trusty trinkets you use to help make your day a success!

I'd like to start with some of the personal items I keep handy that make constant car travel actually ENJOYABLE:

  • A hands-free cell phone device. Since we spend so much of our time driving, it is definitely worth it to have a hands-free device (which is also mandated by law in many places now). My car is my office and sometimes I need to make phone calls throughout the day, plus families will call to cancel or talk and either way, it's important to be prepared, available and safe.
  • Cell phone car charger. Although I charge my phone every night when I get home, on the rare occasion that I forget, I always have backup if I need it!
  • Insulated lunch bag. One of the best gifts I ever received was an insulted lunch bag! When everything else in your car is exposed to the elements while you are working inside someone's home, your food stays warm in the winter and cool in the summer. This keeps a smile on my face even when the weather outside has reached an extreme temperature!
  • Umbrella. You never know when a passing shower or thunderstorm may roll in, especially this time of the year. I have been caught in downpours before and it is not fun to sit in soggy clothes in someone's air-conditioned home. I keep an umbrella in my car at all times.
  • Insulated thermos. Keeps your beverages toasty on wintry days!
  • Frozen water jug/bottle. This suggestion was recently shared with me by a wise co-worker. Every night during the summer months she puts a jug of water in the freezer so that it is ready to go in the morning. Because it is solid ice when you leave for work, it slowly thaws throughout the day and provides a cold drink even hours later during the dog days of summer! It works and is wonderful! You can add lemon and/or lime to lighten the flavor!
  • Tissues and napkins. Like I said before, my car is my office. I've spilled coffee on myself a dozen times and have eaten numerous paninis and fruit salads while driving. Needless to say, napkins and tissues are a must for food purposes, as well as the unexpected sneezing attack!
  • Good music and/or radio commentary. Two staples I cannot do without!

 

Please share some items you can't you live without in EI!!!

Next week I will highlight therapy items that are an absolutely MUST for an EI SLP!!

20 comments

I have done early intervention on and off since 1983.  I am now doing it full time.  All those suggestions are good.  I would include an extra pair of socks. I once stepped in a puddle and had to put up with wet feet.  

Also a small bottle of Febreeze comes in handy when you come our of a smokers house and have to go to the next home.

Amy Enlow, SLP - early intervention August 22, 2009 11:47 AM
Saint Joseph MO

This is a question out of left field. I know someone looking for EI speech services for her 2 year old in Pennsylvania. She insists that she is required to pay for the evaluation and per session. I am not familiar with Pennsylvania's laws, and would like any information on free early intervention. You can email me at achayne2002@yahoo.com

Ariella, Speech-Language Pathology - CFY-SLP, UCP August 20, 2009 2:11 PM
Brooklyn NY

I"m not an SPT, but I've been doing Early Intervention (Developmental Special Instruction) for a bit over 2 years now. These are all great suggestions for us road warriors. The only thing I'd add is audiobooks. I borrow mine from the library, and they are a great way to pass the time when I have a long distance to cover between appointments.

Stacy August 7, 2009 3:47 AM

Stephanie, I am an SLP and I have been involved in EI home care for almost 10 years now. Thanks for your blog, I read it for the first time today. For my list I would add the all important antiseptic wipes/antibacterial lotion for those times when you need to clean your hands before, during and after a home visit. Unfortunately your own soap and hand towels is necessary at times too. Alcohol wipes, notepaper, clipboard, scotch tape, scissors, duct tape, therapy tool catalogues (to show parents where to purchase/order tools they are interested in), construction paper, stickers and the all important bottle of bubble liquid to replenish and refresh the bubble supply are in my car year round. I also keep boxes of extra zip-lock bags to keep my tools separate and clean. A plastic tablecloth is also a must have for messy play in homes on carpets (bubbles, play-doh and boxes of beans or rice can be a chore to clean up and many parents highly cherish their carpets). I have an office storage box that I keep my charts in and I also include extra copies of daily session notes, evaluation forms, information hand-outs, reference lists for parents, extra pens, legal pad and anything else that I think I might need. I would also suggest that a beginning therapist set up an organization scheme for their car that includes boxes, bags and/or dividers and plan to re-organize once a month. I see 5-6-7 appointments per day and I don't spend the time between sessions putting everyting neatly away! So, by the end of the week/month, I need to re-organize. I also trade out big bags of theme toys (a gym bag is great for this). I can easily recognize the bag of dishes/food toys versus the bag of hats and dress up stuff versus the bag of Pringle cans versus the big bag of balloons and puppet toys. And yes, I use balloons regularly after I get permission from the parents. If they say, no, then I don't. But balloons can be a wonderful and I emphasize wonderful therapy tool. When I use them I never, never, never take my eyes off of a child who has a balloon and I never leave balloons in the house that are not blown up and tied. I know this is controversial so I anticipate comments!

Beth, Speech Pathology - Therapist, Self-employed July 18, 2009 7:12 AM
South Bend IN

Stephanie, I am an SLP and I have been involved in EI home care for almost 10 years now. Thanks for your blog, I read it for the first time today. For my list I would add the all important antiseptic wipes/antibacterial lotion for those times when you need to clean your hands before, during and after a home visit. Unfortunately your own soap and hand towels is necessary at times too. Alcohol wipes, notepaper, clipboard, scotch tape, scissors, duct tape, therapy tool catalogues (to show parents where to purchase/order tools they are interested in), construction paper, stickers and the all important bottle of bubble liquid to replenish and refresh the bubble supply are in my car year round. I also keep boxes of extra zip-lock bags to keep my tools separate and clean. A plastic tablecloth is also a must have for messy play in homes on carpets (bubbles, play-doh and boxes of beans or rice can be a chore to clean up and many parents highly cherish their carpets). I have an office storage box that I keep my charts in and I also include extra copies of daily session notes, evaluation forms, information hand-outs, reference lists for parents, extra pens, legal pad and anything else that I think I might need. I would also suggest that a beginning therapist set up an organization scheme for their car that includes boxes, bags and/or dividers and plan to re-organize once a month. I see 5-6-7 appointments per day and I don't spend the time between sessions putting everyting neatly away! So, by the end of the week/month, I need to re-organize. I also trade out big bags of theme toys (a gym bag is great for this). I can easily recognize the bag of dishes/food toys versus the bag of hats and dress up stuff versus the bag of Pringle cans versus the big bag of balloons and puppet toys. And yes, I use balloons regularly after I get permission from the parents. If they say, no, then I don't. But balloons can be a wonderful and I emphasize wonderful therapy tool. When I use them I never, never, never take my eyes off of a child who has a balloon and I never leave balloons in the house that are not blown up and tied. I know this is controversial so I anticipate comments!

Beth, Speech Pathology - Therapist, Self-employed July 18, 2009 7:09 AM
South Bend IN

I have recently started doing EI home visits and have found that an acordian file folder has worked for me to keep all my kids files and information organized.  Also using the pull along crates and the going green grocery bags work wonders in providing organization and storage in the trunk.

Liz July 9, 2009 3:58 PM

I HAVE BEEN A SP/ST FOR 30 YEARS AND DOING EI FOR ABOUT 12 YEARS-WHEN I HAD A CAR I LOVED USING 3-4 LARGE CANVAS BAGS-BUT NOW WITH NO CAR-AND TAKING PUBLIC TRANSPORTATION, I NEED TO RETHINK... SUITCASE ON WHEELS? OR ONE LARGE CANVAS BAG?  ALSO, I NEED TO REALLY BRING TOOLS THAT WILL BE  DEFINITELY WORK AND BE UNISEX...  ANY GOOD IDEAS FOR THE BACK AS WELL AS AN ALMOST FULL PROOF  SUCCESSFUL SESSION?

MELISSA FROM NYC

Melissa Heller, speech - speech pathologist, DEPT.OF EDUC. & EI June 30, 2009 7:21 AM
NYC NY

I HAVE BEEN A SP/ST FOR 30 YEARS AND DOING EI FOR ABOUT 12 YEARS-WHEN I HAD A CAR I LOVED USING 3-4 LARGE CANVAS BAGS-BUT NOW WITH NO CAR-AND TAKING PUBLIC TRANSPORTATION, I NEED TO RETHINK... SUITCASE ON WHEELS? OR ONE LARGE CANVAS BAG?  ALSO, I NEED TO REALLY BRING TOOLS THAT WILL BE  DEFINITELY WORK AND BE UNISEX...  ANY GOOD IDEAS FOR THE BACK AS WELL AS AN ALMOST FULL PROOF  SUCCESSFUL SESSION?

MELISSA FROM NYC

Melissa Heller, speech - speech pathologist, DEPT.OF EDUC. & EI June 30, 2009 7:21 AM
NYC NY

I HAVE BEEN A SP/ST FOR 30 YEARS AND DOING EI FOR ABOUT 12 YEARS-WHEN I HAD A CAR I LOVED USING 3-4 LARGE CANVAS BAGS-BUT NOW WITH NO CAR-AND TAKING PUBLIC TRANSPORTATION, I NEED TO RETHINK... SUITCASE ON WHEELS? OR ONE LARGE CANVAS BAG?  ALSO, I NEED TO REALLY BRING TOOLS THAT WILL BE  DEFINITELY WORK AND BE UNISEX...  ANY GOOD IDEAS FOR THE BACK AS WELL AS AN ALMOST FULL PROOF  SUCCESSFUL SESSION?

MELISSA FROM NYC

Melissa Heller, speech - speech pathologist, DEPT.OF EDUC. & EI June 30, 2009 7:21 AM
NYC NY

I always have some type of cleaning wipe-Clorox or Lysol as well as wipes for dirty hands and faces and papertowels. I usually bring these into my homes, you never know when you have to wipe a table and I try to wipe toys in between clients until I can wash them. Also, I've learned the hard way that a change of clothes is a must! I try to keep my EI materials in the back of my SUV and pre-k materials in the back seat, and try to reorganize every weekend.

Liza, Bilingual SLP June 25, 2009 1:12 PM
Buffalo NY

I put my toys in a duffle bag on wheels so I can just drag my bag of toys instead of carrying it.

Debra Foley, SLP June 23, 2009 12:07 PM
IL

A great place to find car organizing systems is The Container Store http://www.containerstore.com .  They have different trunk organizing systems as well as drawer systems for those of us with hatchbacks or SUVs.

Lisa Jordan June 23, 2009 11:34 AM
Santa Rosa CA

I use my digital voice recorder constantly.  When pushed for time between clients, I can record notes to chart later.  I also use it during evaluations to take language samples and during sessions to increase auditory awareness.  It's handy for reminders and it has a clock, so if I forget my watch it helps with time management.

The one that I use currently has a playback feature that can slow, or speed up the recording.  The slow playback is fantastic for people working on articulation and speech rate.

Lisa, SLP June 23, 2009 11:28 AM
Santa Rosa CA

I have also learned to have a change of clothes. So far, I haven't wet my pants while working, but have had a number of kids sit on my lap with a leaking diaper/pull-up and even some lovely memories of vomit! Of course these events only happen on days when I am not near home, wouldn't have time to stop there, etc. So, there's an extra set for me in the car!

Ann Osterling, SLP June 23, 2009 11:03 AM
Champaign, IL

These are all great suggestions!! I love the wipes and stain stick ideas - I feel like I am always spilling things! Plus, the organizers....I need some! I use bags and plastic containers but I could probably use a better plan.

p.s. tomorrow's post will highlight speech tx materials we use to get us started in EI

stephanie, blog author June 22, 2009 8:07 AM

Spare watches. Sometimes I forget to wear one and can't manage my time well during a session, not to mention needing to ask when its time to leave, which feels rude.

Judy Butler, SLP June 20, 2009 6:48 PM
Franklin MA

Hi Stephanie,

I would add  wet ones to your list.  Also anyone have ideas on organizing materials in car. My trunk is a disaster.

It would also be interesting  to hear of materials other SLPs like for therapy for EI. I love the articulation flip book. Great for production of early developing consonants  and language.

Geri , homecare 0-5 - Slp June 20, 2009 2:53 PM
westchester NY

Of course try to wash your hands upon entering and leaving homes/daycares with EI, but don't forget the hand sanitizer!

Rachel June 19, 2009 8:49 PM
NY

A Tide To-Go stain stick because I only seem to spill something on my clothes the day of a meeting!

Abra June 18, 2009 11:50 PM

I've been an EIS for about 6 months now and all of those tips are so so so right on!

Christian Phillips, ECI - EIS, UCP of Houston June 18, 2009 4:28 PM
Houston TX

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