Proper usage of a BVM involves several steps: 1. Positioning the Patient: Ensure the patient's airway is open using techniques such as the head-tilt, chin-lift, or jaw-thrust maneuver. 2. Selecting the Right Mask Size: Choose a mask that creates a good seal around the patientâs nose and mouth. 3. Ventilation: Squeeze the bag every 5-6 seconds for adults and every 3-5 seconds for children. Ensure that the chest rises with each ventilation. 4. Monitoring: Continuously monitor the patient's oxygen saturation and chest rise to ensure adequate ventilation.