Why should you not secure a patient face down during restraint?

Securing a patient face down during restraint should be avoided primarily because it can cause difficulty with breathing. When a person is placed in a prone position, the weight of their body compresses the chest and abdomen, which can restrict movement of the diaphragm and lungs. This limitation can lead to inadequate ventilation and even asphyxia, especially in individuals who may already have compromised respiratory function. It's essential to maintain an open airway and allow for normal breathing, which is significantly more feasible when a person is positioned on their back or side.

While other factors, such as discomfort, control effectiveness, and assessment efficiency, are also important considerations, the risk of respiratory distress takes precedence, as it directly impacts the patient's safety and wellbeing during a restraint situation.