Hospital and Healthcare Security Course 2026
This course is for security guards who work in hospitals, clinics and long-term care homes in Canada. It covers emergency colour codes, aggression and patients in crisis, infection control and sharps safety, and patient privacy.
Quick answer
This free course has about 15 minutes of lessons and a 25-question test. Score 80% or more to download a certificate of completion (private, not accredited). Checked against official sources on October 11, 2026.
What you will learn
- Recognize the hospital emergency colour codes used in Canada
- Respond to aggression with de-escalation and teamwork
- Follow hand hygiene and isolation precautions
- Handle sharps and needlestick injuries safely
- Protect patient privacy and health information
Score 80% or more to download your certificate.
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Question 1 of 25
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Answer: A. Fire
Code Red is the fire code in both Alberta Health Services and Ontario hospitals that use the standard codes.
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Question 2 of 25
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Answer: C. Cardiac arrest or other medical emergency
Code Blue is called for a cardiac arrest or medical emergency. Some Ontario hospitals use Code Pink for a child.
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Question 3 of 25
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Answer: D. Code White
Code White is called for an incident involving aggression or violence. Security usually responds as part of a team.
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Question 4 of 25
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Answer: C. A missing person, such as a missing patient
Code Yellow is activated when a person is missing. Some Ontario hospitals use a separate Code Amber for a missing infant or child.
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Question 5 of 25
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Answer: A. Code Black
Code Black covers bomb threats and suspicious items found after a bomb threat.
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Question 6 of 25
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Answer: A. Code Green
Code Green is activated when an incident requires full or partial evacuation of the site.
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Question 7 of 25
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Answer: B. Code Brown
Code Brown covers chemical spills and hazardous substance releases.
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Question 8 of 25
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Answer: C. Code Orange
Code Orange is for a mass casualty incident or external disaster that brings a sudden influx of patients.
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Question 9 of 25
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Answer: D. A hostage situation
Code Purple is used when someone is held hostage. Alberta also uses it when there is a threat of violence with a weapon.
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Question 10 of 25
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Answer: B. Code meanings can differ, so learn the list used at your own facility
Most codes match across provinces, but some differ. Always learn your own facility's codes and your role in each.
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Question 11 of 25
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Answer: D. Health care workers
CCOHS lists health care employees, as well as police, security and correctional officers, among groups at higher risk of workplace violence.
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Question 12 of 25
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Answer: C. The behaviour may come from a medical problem such as delirium, so work with clinical staff
Pain, infection, delirium, dementia and drugs can all cause aggression. Clinical staff lead care, and security supports safety.
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Question 13 of 25
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Answer: A. The professionals named in the provincial mental health law, such as physicians or police
Mental health laws, not security staff, set who can require a person to be held. Security assists under hospital policy and clinical direction.
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Question 14 of 25
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Answer: C. Speak calmly, listen, give them space and show you want to help
Early, calm, respectful communication is the best way to bring tension down before it becomes a crisis.
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Question 15 of 25
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Answer: D. At least 20 seconds
CCOHS advises lathering with soap for at least 20 seconds, then rinsing and drying well.
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Question 16 of 25
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Answer: A. 60%
Alcohol-based hand sanitizers should contain at least 60% alcohol.
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Question 17 of 25
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Answer: D. Soap and water
Hand sanitizer does not work well on hands that are visibly soiled with dirt, blood or other matter. Wash with soap and water.
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Question 18 of 25
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Answer: B. Check with the nurse and wear the protective equipment the sign lists
Isolation signs tell everyone what protection is needed. Following them protects you, patients and others.
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Question 19 of 25
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Answer: C. Do not pick it up with bare hands; keep people away and report it or dispose of it using the tools and sharps container your training allows
Sharps must never go in regular garbage or be left lying around. Report any you find and use proper tools and a sharps container.
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Question 20 of 25
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Answer: A. Do not recap needles unless a law requires it
Needles should not be recapped. Used sharps go straight into a puncture-resistant sharps container.
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Question 21 of 25
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Answer: A. Rinse the area under running water, gently wash with soap, and report it right away
CCOHS advises rinsing with running water and washing gently with soap, then telling your employer right away and following medical advice.
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Question 22 of 25
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Answer: C. When it is three-quarters full
Sharps containers should be removed and replaced when they are three-quarters full, before they become dangerous to use.
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Question 23 of 25
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Answer: D. How personal health information is collected, used and shared in the health sector
PHIPA is Ontario's health privacy law. It sets rules for collecting, using and disclosing personal health information.
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Question 24 of 25
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Answer: C. Do not confirm anything and refer the caller to the proper hospital staff or process
Even the fact that a person is a patient is health information. Security staff do not share it; they refer callers to the right department.
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Question 25 of 25
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Answer: B. Check your assigned areas and exits using the patient's description, and report what you find
During a missing person code, security usually searches assigned areas, watches exits and reports quickly. Fire exits must never be locked.
Keyboard: 1–4 to answer, Enter for the next question.
What to know before the test
- In Alberta Health Services, Code White means violence or aggression, Code Yellow a missing person and Code Purple a hostage situation.
- Some codes differ: in many Ontario hospitals Code Grey means loss of an essential service, while in Alberta it means air exclusion.
- Hand sanitizer should have at least 60% alcohol; wash with soap and water for at least 20 seconds when hands are visibly dirty.
- Used needles should not be recapped, and sharps containers should be replaced when three-quarters full.
- Ontario's PHIPA governs how personal health information is collected, used and shared in the health sector.
Frequently asked questions
Are hospital colour codes the same across Canada?
Most are similar, such as Code Red for fire and Code Blue for a medical emergency, but some differ between provinces and facilities. Always learn your own facility's list.
What does Code White mean?
Code White is called for an incident involving violence or aggression. Security usually responds as part of a trained team.
What should I do after a needlestick injury?
Rinse the area under running water, gently wash with soap, report it to your employer right away and follow the medical advice you get.
How long does the course take?
The five lessons take about 15 minutes to read. The final test has 25 questions and you need 80% to pass.
Is the certificate accredited or officially recognised?
No. It is a private certificate of completion for knowledge only. It is not recognised, accredited or approved by any government, licensing body, regulator or educational institution, and it does not replace the security licence training required in your province or territory.
Sources
- Emergency response codes (Alberta Health Services)
- Emergency codes (North York General Hospital, Ontario Hospital Association standard codes)
- Violence and harassment in the workplace (Canadian Centre for Occupational Health and Safety)
- Hand washing (Canadian Centre for Occupational Health and Safety)
- Needlestick and sharps injuries (Canadian Centre for Occupational Health and Safety)
- Health organizations and PHIPA (Information and Privacy Commissioner of Ontario)