This document provides instructions for performing suctioning of artificial airways including a tracheostomy and endotracheal tube. It lists the necessary equipment, describes the pre-procedure, intra-procedure, and post-procedure steps. The pre-procedure involves identifying the patient, explaining the procedure, preparing equipment and positioning the patient. The intra-procedure involves inserting the suction catheter, applying intermittent suction, and assessing the patient. The post-procedure includes documenting findings, caring for equipment, and monitoring the patient. Similar steps are outlined for performing oral and nasal suctioning.
This document discusses suctioning, which involves using a catheter connected to a suction machine to aspirate secretions. It describes the different sites where suctioning can be performed, including oropharyngeal, nasopharyngeal, endotracheal, and tracheostomy sites. The purposes, indications, equipment, procedure steps, documentation, complications, and tips for safe suctioning are outlined in detail.
The document provides checklists for suctioning endotracheal tubes, tracheostomy tubes, the oropharynx, and nasopharynx. It outlines the steps for each procedure, including preparing supplies, positioning the patient, inserting and withdrawing the suction catheter, and documenting the results. The goal is to clear secretions from the airway to maintain a patent airway and prevent respiratory infections. The checklists help ensure all critical steps are followed to safely and effectively perform suctioning.
The document provides instructions for suctioning a patient with a tracheostomy tube, including maintaining sterile technique, assessing the need for suctioning, using appropriate suction settings and time limits, and reassessing the patient afterwards. Key steps include pre-oxygenating the patient, inserting and rotating the suction catheter at the appropriate depth, suctioning for no more than 5-15 seconds, and monitoring the patient's condition after the procedure. Normal saline may be instilled if needed to loosen thick secretions before repeating suctioning.
1. Suction is used to remove secretions from intubated patients and those unable to cough effectively. It should be done gently and only when necessary to avoid trauma.
2. A suction cart with appropriate catheters, lubricant, and sterile supplies is needed. Suctioning is indicated for retained secretions or changes in ventilation.
3. Risks include trauma, hypoxia, cardiovascular effects, and lung collapse. Suctioning techniques are described for intubated, non-intubated, and tracheostomy patients. Precautions like limiting suction time and pressure are outlined to minimize risks.
This document provides guidelines for suctioning a patient with an endotracheal tube, including: maintaining aseptic technique; assessing the need for suctioning; ensuring the suction device is working; inserting and rotating the suction catheter for no more than 10-15 seconds for adults and 5-10 seconds for pediatrics; ventilating the patient between suctioning; and documenting the procedure, secretions, and patient response. Proper suctioning is important to maintain a patent airway while avoiding potential complications like hypoxia
Manual Suction Machine use in hospital setting.pptxanjalatchi
Suctioning is a procedure to remove secretions from the airways using a mechanical aspiration device. It is indicated when a patient is unable to clear their airway through coughing. There are different types of suctioning that use various catheters to reach different areas of the airway. Proper suctioning involves using the correct catheter size and depth as well as limiting the duration of suctioning to 5-10 seconds while monitoring the patient's condition.
This document discusses suctioning, which involves using a catheter connected to a suction machine to aspirate secretions. It describes the different sites where suctioning can be performed, including oropharyngeal, nasopharyngeal, endotracheal, and tracheostomy sites. The purposes, indications, equipment, procedure steps, documentation, complications, and tips for safe suctioning are outlined in detail.
The document provides checklists for suctioning endotracheal tubes, tracheostomy tubes, the oropharynx, and nasopharynx. It outlines the steps for each procedure, including preparing supplies, positioning the patient, inserting and withdrawing the suction catheter, and documenting the results. The goal is to clear secretions from the airway to maintain a patent airway and prevent respiratory infections. The checklists help ensure all critical steps are followed to safely and effectively perform suctioning.
The document provides instructions for suctioning a patient with a tracheostomy tube, including maintaining sterile technique, assessing the need for suctioning, using appropriate suction settings and time limits, and reassessing the patient afterwards. Key steps include pre-oxygenating the patient, inserting and rotating the suction catheter at the appropriate depth, suctioning for no more than 5-15 seconds, and monitoring the patient's condition after the procedure. Normal saline may be instilled if needed to loosen thick secretions before repeating suctioning.
1. Suction is used to remove secretions from intubated patients and those unable to cough effectively. It should be done gently and only when necessary to avoid trauma.
2. A suction cart with appropriate catheters, lubricant, and sterile supplies is needed. Suctioning is indicated for retained secretions or changes in ventilation.
3. Risks include trauma, hypoxia, cardiovascular effects, and lung collapse. Suctioning techniques are described for intubated, non-intubated, and tracheostomy patients. Precautions like limiting suction time and pressure are outlined to minimize risks.
This document provides guidelines for suctioning a patient with an endotracheal tube, including: maintaining aseptic technique; assessing the need for suctioning; ensuring the suction device is working; inserting and rotating the suction catheter for no more than 10-15 seconds for adults and 5-10 seconds for pediatrics; ventilating the patient between suctioning; and documenting the procedure, secretions, and patient response. Proper suctioning is important to maintain a patent airway while avoiding potential complications like hypoxia
Manual Suction Machine use in hospital setting.pptxanjalatchi
Suctioning is a procedure to remove secretions from the airways using a mechanical aspiration device. It is indicated when a patient is unable to clear their airway through coughing. There are different types of suctioning that use various catheters to reach different areas of the airway. Proper suctioning involves using the correct catheter size and depth as well as limiting the duration of suctioning to 5-10 seconds while monitoring the patient's condition.
Suctioning is used to remove secretions from intubated patients and those unable to cough effectively. It should be done as quickly, gently, and cleanly as possible to minimize trauma while only performing when necessary. All necessary equipment should be prepared, including sterile catheters, lubricant, and collection materials. Suctioning is indicated for audible secretions, changes in ventilator pressures or volumes, or before releasing a cuff. Risks include trauma, hypoxia, cardiovascular effects, and atelectasis, so suctioning time should be minimized and oxygenation supported. Proper technique depends on the site being suctioned and maintains sterility.
This document provides information on tracheostomy care including:
- The risks of tracheostomy include infection, internal bleeding, and loss of speech.
- Pre-op care involves sedation, NPO after 2200 hours, blood tests, consent forms and ensuring communication methods.
- Post-op care consists of tracheostomy tube cleaning daily, suctioning secretions, monitoring oxygen levels, and giving medications like antibiotics and analgesics.
- Proper tracheostomy care is needed to prevent complications and keep the site infection-free.
suctionmachine presentation that was the educationNILESHVALVI3
Suction machines are devices used to remove substances like blood, mucus, and vomit from a person's airway. They use pumps powered by electricity or foot pedals to create suction through pistons and air tight chambers. Suction machines are used in medical settings and homes to clear airways and facilitate breathing by removing excess secretions. They require training to properly operate and maintain in order to safely suction from the mouth, nose, or trachea while monitoring the patient.
Suction machines are devices used to remove substances like blood, mucus, and vomit from a person's airway. They use pumps powered by electricity or foot pedals to create suction through pistons and air tight chambers. Suction machines are used in medical settings and homes to clear airways and facilitate breathing by removing excess secretions. They require training to properly operate and maintain in order to safely suction from the mouth, nose, or trachea while monitoring the patient.
Thoracentesis is a procedure where a needle is inserted through the chest wall into the pleural space to remove excess fluid or air. It is done to diagnose the cause of fluid buildup, relieve symptoms from excess fluid, or treat infections. The nurse's responsibilities include preparing the patient and equipment, maintaining sterility during the procedure, monitoring for complications, and providing aftercare like breathing exercises and wound dressing. Potential risks include lung collapse, bleeding, infection, and respiratory distress if too much fluid is removed. Proper positioning, gentle suction, and limiting fluid removal can help prevent complications.
The document outlines the steps for performing oropharyngeal and nasopharyngeal suctioning procedures. Key steps include assessing the need for suctioning based on signs and symptoms, positioning the client comfortably, applying proper hand hygiene and using aseptic technique, setting the appropriate suction pressure, lubricating and inserting the catheter into the nose or mouth, and encouraging coughing to clear secretions. The procedure aims to clear secretions and promote oxygenation while preventing trauma and transmission of microorganisms.
Gastric lavage, also known as stomach pumping, is a process used to clean out the contents of the stomach by inserting a tube through the nose or mouth and flushing the stomach with liquid, which is then suctioned out. It is commonly performed when someone has ingested poison, overdosed on drugs, or is bleeding in the upper gastrointestinal tract. The document outlines the goals, objectives, procedure, guidelines, and things to remember when performing gastric lavage to safely and effectively remove harmful substances or excess fluid from the stomach.
An endotracheal tube is a flexible plastic tube inserted through the mouth into the trachea to allow a patient to breathe with a ventilator when they are unable to do so independently. It may be used during surgery, for respiratory issues like pneumonia, or after lung cancer surgery. Inserting the tube is called intubation and requires preparing equipment like a laryngoscope, securing and positioning the patient, confirming proper tube placement, and attaching the patient to a ventilator. Nurses play an important role in intubation by preparing equipment and medications, assisting the physician, monitoring the patient, and managing care of the endotracheal tube and ventilated patient.
Basic life support & basic medical procedureDr. Sharad Chand
This document provides information on various medical procedures. It begins by defining cardiopulmonary resuscitation (CPR) and its components of assessing airway, breathing, circulation, and obtaining emergency help. It then describes procedures for inserting a nasogastric tube, placing an intravenous cannula, performing abdominal paracentesis and thoracentesis, and intubating a patient. Risks and steps for each procedure are outlined. References on clinical medicine and life support are also listed.
Thoracentesis is a procedure to remove fluid or air from the pleural cavity through insertion of a needle into the chest wall. It is indicated for conditions such as pleural effusion, pneumonia, or trauma. The nurse prepares equipment like syringes, needles, and specimen containers and assists the physician by administering local anesthetic, observing for complications, and providing aftercare like monitoring for bleeding or infection. Precise technique and positioning are important to safely drain fluid and avoid injuries to lungs during the procedure.
This document provides information on various airway management techniques including:
1) Using proper body substance isolation procedures when performing airway techniques.
2) Identifying when artificial ventilation or assisted ventilations are needed.
3) Using airway adjunct devices like oral and nasal airways when appropriate.
This document provides procedures for giving oxygen therapy and suctioning patients. It outlines the necessary equipment, including various oxygen delivery systems and suction catheters. The steps for implementing oxygen therapy with nasal cannulas, face masks, and providing proper positioning are described. The document also details the 21 step procedure for suctioning a patient's nasopharyngeal and oropharyngeal airways, including preparing equipment, inserting the suction catheter, applying suction, and concluding the procedure.
EMS personnel are trained to perform oropharyngeal suctioning using rigid, flexible, or bulb suction catheters to clear a patient's airway of secretions. Key steps include taking proper protective equipment, assessing the need for suctioning, setting an appropriate suction pressure, measuring catheter depth, inserting and withdrawing the catheter while suctioning, limiting suction time to avoid hypoxia, ventilating the patient, and reassessing the airway and vital signs. Suctioning must be performed carefully to avoid stimulating the gag reflex or causing other complications.
A tracheostomy is an opening in the neck into the trachea that aids breathing. Tracheostomy care includes cleaning the tracheostomy site and changing dressings and inner tubes. The nurse must assemble sterile equipment, clean the tracheostomy tube and stoma, replace the inner tube, apply a sterile dressing, and document the procedure. Proper tracheostomy care is needed to prevent infection and promote patient comfort.
1. The document provides instructions for performing urethral catheterization, including preparing supplies, positioning the patient, cleaning the urinary meatus, inserting the catheter, securing it, and documenting the procedure.
2. Removing and serving a bedpan is described, including ensuring patient privacy, positioning the bedpan and assisting the patient, cleaning the patient, and disposing of supplies properly.
3. Instructions are given for performing a hot sitz bath to relieve pain and congestion, including checking orders, preparing a tub of warm water, assisting the patient and ensuring their safety and comfort during the bath.
This document provides guidance on oral hygiene and Ryles tube feeding for patients. It discusses the importance of regular oral hygiene, especially for those with feeding tubes or who are unconscious. Proper oral hygiene reduces risks of infections, ulcers, and gum disease. For conscious patients, a soft toothbrush and mouthwash should be used twice daily. Unconscious patients require similar care every 4 hours using gloved hands and swabs. Ryles tube feeding involves checking tube placement, aspirating contents, and slowly feeding with a syringe or pump at prescribed rates while monitoring for complications. Proper oral care and feeding tube management are important for patient health and recovery.
A tracheostomy is an opening in the neck into the trachea that aids breathing. Tracheostomy care includes cleaning the tracheostomy site and changing dressings and inner tubes. The nurse must follow sterile technique, assess the tracheostomy site for signs of infection, clean the inner cannula and site, replace dressings and ties securely, and document the procedure. Tracheostomy care promotes airway patency, prevents infection, and provides patient comfort.
This document discusses oral suctioning, including its definition as removing secretions from the mouth, purposes of clearing the airway and preventing infections, and indications for patients unable to clear their own secretions. The procedure is described in detail, from preparing supplies to inserting the oral sucker and suctioning all areas of the mouth. Proper cleaning and replacement of equipment is emphasized. In conclusion, oral suction plays an important role in healthcare by removing secretions and preventing respiratory or digestive infections.
Oral suctioning is a procedure to remove secretions from the mouth using suction. It is used for patients who have difficulty swallowing or producing excess saliva. The document defines oral suctioning, lists its purposes as removing secretions to clear the airway and prevent infections, and describes the Yankauer sucker and suction machine used. It provides indications for oral suctioning such as inability to clear secretions and contraindications like facial fractures or bleeding disorders. The procedure section outlines preparing supplies, gaining consent, inserting the suction tube safely, and cleaning equipment after to maintain sterility.
This document provides guidance on suctioning techniques for nursing students. It aims to teach safe and effective use of suction equipment. The objectives are to familiarize students with anatomy related to suctioning and how to properly set up equipment, identify the need for suctioning, and demonstrate techniques while minimizing trauma. The document covers the definition of suctioning, its history, related anatomy, purposes, guidelines, types of suctioning, monitoring, choosing the correct catheter size and suction pressure, applying suction for the appropriate time, and assessing outcomes. Contraindications and limitations are also discussed.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
Suctioning is used to remove secretions from intubated patients and those unable to cough effectively. It should be done as quickly, gently, and cleanly as possible to minimize trauma while only performing when necessary. All necessary equipment should be prepared, including sterile catheters, lubricant, and collection materials. Suctioning is indicated for audible secretions, changes in ventilator pressures or volumes, or before releasing a cuff. Risks include trauma, hypoxia, cardiovascular effects, and atelectasis, so suctioning time should be minimized and oxygenation supported. Proper technique depends on the site being suctioned and maintains sterility.
This document provides information on tracheostomy care including:
- The risks of tracheostomy include infection, internal bleeding, and loss of speech.
- Pre-op care involves sedation, NPO after 2200 hours, blood tests, consent forms and ensuring communication methods.
- Post-op care consists of tracheostomy tube cleaning daily, suctioning secretions, monitoring oxygen levels, and giving medications like antibiotics and analgesics.
- Proper tracheostomy care is needed to prevent complications and keep the site infection-free.
suctionmachine presentation that was the educationNILESHVALVI3
Suction machines are devices used to remove substances like blood, mucus, and vomit from a person's airway. They use pumps powered by electricity or foot pedals to create suction through pistons and air tight chambers. Suction machines are used in medical settings and homes to clear airways and facilitate breathing by removing excess secretions. They require training to properly operate and maintain in order to safely suction from the mouth, nose, or trachea while monitoring the patient.
Suction machines are devices used to remove substances like blood, mucus, and vomit from a person's airway. They use pumps powered by electricity or foot pedals to create suction through pistons and air tight chambers. Suction machines are used in medical settings and homes to clear airways and facilitate breathing by removing excess secretions. They require training to properly operate and maintain in order to safely suction from the mouth, nose, or trachea while monitoring the patient.
Thoracentesis is a procedure where a needle is inserted through the chest wall into the pleural space to remove excess fluid or air. It is done to diagnose the cause of fluid buildup, relieve symptoms from excess fluid, or treat infections. The nurse's responsibilities include preparing the patient and equipment, maintaining sterility during the procedure, monitoring for complications, and providing aftercare like breathing exercises and wound dressing. Potential risks include lung collapse, bleeding, infection, and respiratory distress if too much fluid is removed. Proper positioning, gentle suction, and limiting fluid removal can help prevent complications.
The document outlines the steps for performing oropharyngeal and nasopharyngeal suctioning procedures. Key steps include assessing the need for suctioning based on signs and symptoms, positioning the client comfortably, applying proper hand hygiene and using aseptic technique, setting the appropriate suction pressure, lubricating and inserting the catheter into the nose or mouth, and encouraging coughing to clear secretions. The procedure aims to clear secretions and promote oxygenation while preventing trauma and transmission of microorganisms.
Gastric lavage, also known as stomach pumping, is a process used to clean out the contents of the stomach by inserting a tube through the nose or mouth and flushing the stomach with liquid, which is then suctioned out. It is commonly performed when someone has ingested poison, overdosed on drugs, or is bleeding in the upper gastrointestinal tract. The document outlines the goals, objectives, procedure, guidelines, and things to remember when performing gastric lavage to safely and effectively remove harmful substances or excess fluid from the stomach.
An endotracheal tube is a flexible plastic tube inserted through the mouth into the trachea to allow a patient to breathe with a ventilator when they are unable to do so independently. It may be used during surgery, for respiratory issues like pneumonia, or after lung cancer surgery. Inserting the tube is called intubation and requires preparing equipment like a laryngoscope, securing and positioning the patient, confirming proper tube placement, and attaching the patient to a ventilator. Nurses play an important role in intubation by preparing equipment and medications, assisting the physician, monitoring the patient, and managing care of the endotracheal tube and ventilated patient.
Basic life support & basic medical procedureDr. Sharad Chand
This document provides information on various medical procedures. It begins by defining cardiopulmonary resuscitation (CPR) and its components of assessing airway, breathing, circulation, and obtaining emergency help. It then describes procedures for inserting a nasogastric tube, placing an intravenous cannula, performing abdominal paracentesis and thoracentesis, and intubating a patient. Risks and steps for each procedure are outlined. References on clinical medicine and life support are also listed.
Thoracentesis is a procedure to remove fluid or air from the pleural cavity through insertion of a needle into the chest wall. It is indicated for conditions such as pleural effusion, pneumonia, or trauma. The nurse prepares equipment like syringes, needles, and specimen containers and assists the physician by administering local anesthetic, observing for complications, and providing aftercare like monitoring for bleeding or infection. Precise technique and positioning are important to safely drain fluid and avoid injuries to lungs during the procedure.
This document provides information on various airway management techniques including:
1) Using proper body substance isolation procedures when performing airway techniques.
2) Identifying when artificial ventilation or assisted ventilations are needed.
3) Using airway adjunct devices like oral and nasal airways when appropriate.
This document provides procedures for giving oxygen therapy and suctioning patients. It outlines the necessary equipment, including various oxygen delivery systems and suction catheters. The steps for implementing oxygen therapy with nasal cannulas, face masks, and providing proper positioning are described. The document also details the 21 step procedure for suctioning a patient's nasopharyngeal and oropharyngeal airways, including preparing equipment, inserting the suction catheter, applying suction, and concluding the procedure.
EMS personnel are trained to perform oropharyngeal suctioning using rigid, flexible, or bulb suction catheters to clear a patient's airway of secretions. Key steps include taking proper protective equipment, assessing the need for suctioning, setting an appropriate suction pressure, measuring catheter depth, inserting and withdrawing the catheter while suctioning, limiting suction time to avoid hypoxia, ventilating the patient, and reassessing the airway and vital signs. Suctioning must be performed carefully to avoid stimulating the gag reflex or causing other complications.
A tracheostomy is an opening in the neck into the trachea that aids breathing. Tracheostomy care includes cleaning the tracheostomy site and changing dressings and inner tubes. The nurse must assemble sterile equipment, clean the tracheostomy tube and stoma, replace the inner tube, apply a sterile dressing, and document the procedure. Proper tracheostomy care is needed to prevent infection and promote patient comfort.
1. The document provides instructions for performing urethral catheterization, including preparing supplies, positioning the patient, cleaning the urinary meatus, inserting the catheter, securing it, and documenting the procedure.
2. Removing and serving a bedpan is described, including ensuring patient privacy, positioning the bedpan and assisting the patient, cleaning the patient, and disposing of supplies properly.
3. Instructions are given for performing a hot sitz bath to relieve pain and congestion, including checking orders, preparing a tub of warm water, assisting the patient and ensuring their safety and comfort during the bath.
This document provides guidance on oral hygiene and Ryles tube feeding for patients. It discusses the importance of regular oral hygiene, especially for those with feeding tubes or who are unconscious. Proper oral hygiene reduces risks of infections, ulcers, and gum disease. For conscious patients, a soft toothbrush and mouthwash should be used twice daily. Unconscious patients require similar care every 4 hours using gloved hands and swabs. Ryles tube feeding involves checking tube placement, aspirating contents, and slowly feeding with a syringe or pump at prescribed rates while monitoring for complications. Proper oral care and feeding tube management are important for patient health and recovery.
A tracheostomy is an opening in the neck into the trachea that aids breathing. Tracheostomy care includes cleaning the tracheostomy site and changing dressings and inner tubes. The nurse must follow sterile technique, assess the tracheostomy site for signs of infection, clean the inner cannula and site, replace dressings and ties securely, and document the procedure. Tracheostomy care promotes airway patency, prevents infection, and provides patient comfort.
This document discusses oral suctioning, including its definition as removing secretions from the mouth, purposes of clearing the airway and preventing infections, and indications for patients unable to clear their own secretions. The procedure is described in detail, from preparing supplies to inserting the oral sucker and suctioning all areas of the mouth. Proper cleaning and replacement of equipment is emphasized. In conclusion, oral suction plays an important role in healthcare by removing secretions and preventing respiratory or digestive infections.
Oral suctioning is a procedure to remove secretions from the mouth using suction. It is used for patients who have difficulty swallowing or producing excess saliva. The document defines oral suctioning, lists its purposes as removing secretions to clear the airway and prevent infections, and describes the Yankauer sucker and suction machine used. It provides indications for oral suctioning such as inability to clear secretions and contraindications like facial fractures or bleeding disorders. The procedure section outlines preparing supplies, gaining consent, inserting the suction tube safely, and cleaning equipment after to maintain sterility.
This document provides guidance on suctioning techniques for nursing students. It aims to teach safe and effective use of suction equipment. The objectives are to familiarize students with anatomy related to suctioning and how to properly set up equipment, identify the need for suctioning, and demonstrate techniques while minimizing trauma. The document covers the definition of suctioning, its history, related anatomy, purposes, guidelines, types of suctioning, monitoring, choosing the correct catheter size and suction pressure, applying suction for the appropriate time, and assessing outcomes. Contraindications and limitations are also discussed.
Similar to SUCTIONING ARITIFICIAL AIRWAYS.pptx (20)
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
2. APLLICABLE EQUIPMENT
Suction machine.
Suction connecting tubing (6ft) and collection bottle.
Appropriate size suction catheter.
Y adapter.
AMBU bag with mask and reservoir.
One sterile& one clean glove.
Sterile Normal saline.
Oxygen source and stethoscope.
Kidney tray.
Water soluble lubricant.
Face mask.
Clean towel or sterile drape.
100ml NS (Single use).
3. PRE-PROCEDURE
Identify the patient, check the doctor’s order.
Explain the procedure to patient to gain confidence and cooperation from the patient.
Wash hands.
Collect all the required equipment & keep the equipment at the patient’s bed side.
Apply face mask.
Position the patient to semi-Fowler or sitting upright position if not contraindicated.
An unconscious patient should be placed in the lateral position facing you.
Place towel across patient’s chest.
Place pulse oxy-meter on patient’s finger. Take oxygen saturation reading and leave pulse oxy-
meter in place.
Apply sterile glove to dominant hand and clean glove to non dominant hand.
Pick up suction catheter with dominant hand without touching unsterile surfaces.
Attach the catheter to one opening of Y adapter which is attached to suction
connecting tube, ensuring a tight fit.
Switch on the suction machine and set suction.
4. Intra Procedure:
Remove oxygen delivery device with non dominant hand.
Hyper oxygenate the patient using manual resuscitation bag connected to oxygen source
Then remove oxygen delivery device with non dominant hand.
Without applying suction, gently but quickly insert catheter, until resistance is met or patient
coughs.
Apply intermittent suction by placing and releasing non dominant thumb over vent of
catheter.
Slowly withdraw catheter while rotating it back and forth between dominant thumb and
forefinger.
100ml normal saline should be used for cleaning the suction catheter intermittently.
Oxygenate the patient by manual resuscitation bag in between the suction to prevent
hypoxia.
Assess patient’s cardiopulmonary status for secretion clearance and complication.
Repeat suction after 1 minute.
Perform nasopharyngeal and oro-pharyngeal suctioning.
Now catheter is contaminated so do not reinsert into tracheotomy tube.
Clean the catheter and suction tubing by suctioning normal saline from bottle.
5. ProPostcedure
Follow up care:
Reposition the patient and see that patient is comfortable.
Compare patient’s vital signs and O2 saturation before and after the procedure.
Documentation
Document the quantity, color, consistency and odour of secretions.
Document the patient’s response to the procedure.
Care of equipments.
Disconnect catheter from connecting tubing. Roll catheter around fingers of dominant hand. Pull glove off
inside out so that catheter remains in glove.
Then dispose in the appropriate bag.
Turn off suction.
Wash hands and replace used articles.
ENDOTRACHEAL TUBE
Applicable Equipments
Suction machine with tubing
Wall mounted suction apparatus
Appropriate size suction catheter & Y adapter
One sterile& clean pair of gloves
Oxygen source and stethoscope
Kidney tray Water soluble lubricant & Face mask
6. Instructions Pre Procedure:
Identify the patient, check the doctor’s order
Explain the procedure to patient to gain confidence and cooperation from the patient.(If conscious)
Observe the patient for any respiratory difficulties.
Wash hands. & Collect all the required equipment & keep the equipment at the patient’s bed side.
Apply face mask. Position the patient to semi-Fowler or sitting upright if not contraindicated.
An unconscious patient should be placed in the lateral position facing you.
Place towel across patient’s chest.
Open sterile normal saline bottle and keep.
Check the equipment is functioning properly by suctioning small amount of saline from saline bottle. Connect a Y
adapter to suction connecting tube.
Place pulse oxymeter on patient’s finger. Take oxygen saturation reading and leave pulse oxymeter in place.
Apply sterile glove to dominant hand and clean glove to non dominant hand.
Pick up suction catheter with dominant hand without touching unsterile surfaces.
Attach the catheter to one opening of Y adapter which is attached to suction connecting tube, ensuring a tight fit.
Switch on the suction machine and set suction.
7. Intra Procedure:
Open suctioning:
Ask the assistant to Remove oxygen delivery device & hyper inflate and hyper oxygenate the patient by manual
resuscitation bag connected to oxygen.
Without applying suction, gently but quickly insert catheter, until resistance is met.
Apply intermittent suction by occluding Y port with thumb of unsterile gloved non dominant hand.
Slowly withdraw catheter while rotating it back and forth between dominant thumb and forefinger.
Hyperventilate the patient, 3 to 5 times between suctioning by manual resuscitation bag.
Assess patient’s cardiopulmonary status for secretion clearance and complication.
Do not allow suctioning to continue to more than 10secs.
Repeat after1iminute if needed.
Perform nasopharyngeal and oropharyngeal suctioning.
Now catheter is contaminated so do not reinsert into Endo tracheal tube.
Closed suctioning:
Wash hands
Wear clean gloves
Connect tubing to closed suction port
8. Pre-oxygenation the patient with 100 O2
Gently insert catheter tip into artificial airway without applying suction, stop if you met resistance or when patient
starts coughing and pull back 1cm out
Place the dominant thumb over the control vent of the suction port, applying continuous or intermittent suction for
no more than 10 sec as you withdraw the catheter into the sterile sleeve of the closed suction device
Repeat steps above if needed
Clean suction catheter with sterile saline until clear; being careful not to instill solution into the ETtube
Suction oropharynx above the artificial airway
Wash hands
Post procedure
patient should be hyper-oxygenated by delivery of 100% oxygen > 1 =1 minute
The patient should be monitored for adverse reactions.
Documentation
Document the quantity, color, consistency and odour of secretions
Document the patient’s response to the procedure.
Maintain ventilator bundle checklist.
9. CARE OF EQIUPMENT
Disconnect catheter from connecting tubing. Roll catheter around fingers of dominant hand.
Pull glove off inside out so that catheter remains in glove and then dispose.
Wash hands and dispose used articles according to the hospital policy.
Turn of suction.
SUCTIONING (ORAL)
Applicable eqiupment:
Suction machine with tubing /Wall mounted suction apparatus
Oral suction catheter (e.g.Yankuer’sucker) or Suction catheter 8 to16 gauge
Sterile distilled water in bowl
Towel to protect patient’s clothes and bed linen
Face mask, Eye shield, Gloves
10. INSTRUCTIONS:
Pre Procedure:
Obtain physician’s order.
Perform hand hygiene.
Assemble equipment
Attach oral sucker /suction catheter to suction tubing, ensuring a tight fit.
Explain the procedure to patient.
Position the patient.
If conscious place the patient in semi-fowlers position
If unconscious place in lateral position facing you.
Place pulse oxymeter on patient’s finger if needed.
Place towel across patient’s chest.
Open fresh saline bottle (100ml) for moistening & cleaning catheter.
Intra Procedure:
Put on glove. Eye shield and mask
Switch on the suction machine and set suction at low level.
Pickup the sterile catheter with glove hand and connect to suction tubing.
11. continue
Remove O2 mask of patient if present
Moisten the catheter by dipping it into the sterile saline bottle.
Insert catheter into patient’s mouth
Apply suction and move catheter around mouth, including pharynx and gum line, until secretion is cleared.
Observe that patient is comfortable.
Do not force the sucker between the teeth or touch the posterior pharyngeal wall of the soft palate as it can
make the patient choke or vomit
Release the suction and remove oral sucker from patient mouth.
Encourage client to cough and repeat suction if needed.
Oral suction should not be prolonged for more than 10 to 15 sec at a time.
Repeat suction at least after 20-30 seconds if needed.
Post Procedure:
Documentation
Document the time of suction, patient’s response during suction.
Document the quantity, colour, consistency and odour of secretions.
Care of equipments
Clean the sucker and tubing by suctioning through sterile water until all debris has been cleared.
Wash hands and dispose used articles.