Clear the airway patent (keep the head position in a state parallel to the spine / as indicated).
Perform suction if necessary.
Assess the function of the respiratory system.
Assess the patient's ability to perform cough / discharging effort.
Observation of vital signs before and after the action.
Observation for signs of respiratory ditress (skin becomes pale / cyanosis).
Collaboration with therapists in the provision of physiotherapy.