In our role as Speech-language Pathologists we are to practice at the “top of our license”, but often don’t have the tools we need to get the job done. Most of us don’t ask potential employers about the availability of therapy tools or a budget for therapy equipment. PRN staff often realize if they don’t bring their equipment, there is nothing to work with. Budget constraints put us in a position of having to create or make our own tools. We can make some tools very inexpensively but there comes a time when purchasing specific equipment is necessary to document our outcomes. This seminar will look at tools we can create and utilize in our therapy room as well as those on the market to improve muscle function for an efficient safe swallow and provide documentation of our outcomes. Therapeutic interventions include swallowing and non-swallowing exercises but what are these and why do we use them? These exercises will be identified with literature discussing their efficacy, utilization and outcomes. In addition, new adaptive equipment for pediatrics and adults will be introduced that can assist with bolus control. Appropriate for SLP/SLPAs and OT/COTAs.