Hospital and Healthcare Security Course 2026

1. Pergunta 1 de 25

   In Canadian hospitals, what does Code Red mean?

   • AFire
   • BCardiac arrest
   • CBomb threat
   • DChemical spill
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   Resposta: A. Fire

   Code Red is the fire code in both Alberta Health Services and Ontario hospitals that use the standard codes.

2. Pergunta 2 de 25

   What does Code Blue usually mean in a hospital?

   • AMissing patient
   • BEvacuation
   • CCardiac arrest or other medical emergency
   • DFire
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   Resposta: 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.

3. Pergunta 3 de 25

   A visitor starts shouting threats and pushing staff. Which code is used for violence or aggression?

   • ACode Brown
   • BCode Orange
   • CCode Green
   • DCode White
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   Resposta: D. Code White

   Code White is called for an incident involving aggression or violence. Security usually responds as part of a team.

4. Pergunta 4 de 25

   What does Code Yellow mean in Alberta Health Services and Ontario standard codes?

   • AA power failure
   • BA flood
   • CA missing person, such as a missing patient
   • DA chemical spill
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   Resposta: 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.

5. Pergunta 5 de 25

   Which code is used for a bomb threat or suspicious item after a threat?

   • ACode Black
   • BCode White
   • CCode Purple
   • DCode Red
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   Resposta: A. Code Black

   Code Black covers bomb threats and suspicious items found after a bomb threat.

6. Pergunta 6 de 25

   Which code means part or all of the site must be evacuated?

   • ACode Green
   • BCode Blue
   • CCode Grey
   • DCode Yellow
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   Resposta: A. Code Green

   Code Green is activated when an incident requires full or partial evacuation of the site.

7. Pergunta 7 de 25

   A container of cleaning chemical breaks and spills in a hallway. Which code applies?

   • ACode White
   • BCode Brown
   • CCode Orange
   • DCode Black
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   Resposta: B. Code Brown

   Code Brown covers chemical spills and hazardous substance releases.

8. Pergunta 8 de 25

   A bus crash sends more injured people than the emergency department can handle normally. Which code is likely?

   • ACode Yellow
   • BCode Purple
   • CCode Orange
   • DCode Red
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   Resposta: C. Code Orange

   Code Orange is for a mass casualty incident or external disaster that brings a sudden influx of patients.

9. Pergunta 9 de 25

   What does Code Purple mean in Alberta Health Services and Ontario standard codes?

   • AA patient fall
   • BA power failure
   • CAn infection outbreak
   • DA hostage situation
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   Resposta: 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.

10. Pergunta 10 de 25

    Code Grey means air exclusion or shelter in place in Alberta, but loss of an essential service in many Ontario hospitals. What should you take from this?

    • ACode Grey is never used
    • BCode meanings can differ, so learn the list used at your own facility
    • CCodes are the same everywhere in Canada
    • DOntario codes are wrong
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    Resposta: 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.

11. Pergunta 11 de 25

    According to the Canadian Centre for Occupational Health and Safety, which workers are among those at higher risk of workplace violence?

    • ANight-time bakers
    • BLibrary cataloguers
    • COffice accountants
    • DHealth care workers
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    Resposta: 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.

12. Pergunta 12 de 25

    An older patient suddenly becomes confused and starts swinging at staff. What should you keep in mind?

    • AConfused patients should be sent home
    • BThe patient is being bad on purpose and should be punished
    • CThe behaviour may come from a medical problem such as delirium, so work with clinical staff
    • DYou should restrain the patient right away on your own
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    Resposta: 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.

13. Pergunta 13 de 25

    Who decides whether a patient must be held for a mental health assessment?

    • AThe professionals named in the provincial mental health law, such as physicians or police
    • BThe patient's visitors
    • CThe hospital switchboard
    • DAny security guard on shift
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    Resposta: 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.

14. Pergunta 14 de 25

    A worried family member is getting louder at the nursing station. What is the best first step?

    • ATell them to leave or you will call police
    • BStand very close so they know you are serious
    • CSpeak calmly, listen, give them space and show you want to help
    • DIgnore them until they calm down
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    Resposta: 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.

15. Pergunta 15 de 25

    How long should you lather your hands with soap when washing them?

    • AUntil the soap disappears
    • BAbout 5 seconds
    • CExactly 2 minutes
    • DAt least 20 seconds
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    Resposta: D. At least 20 seconds

    CCOHS advises lathering with soap for at least 20 seconds, then rinsing and drying well.

16. Pergunta 16 de 25

    What is the minimum alcohol content an alcohol-based hand sanitizer should have to be effective?

    • A60%
    • B20%
    • C40%
    • D95%
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    Resposta: A. 60%

    Alcohol-based hand sanitizers should contain at least 60% alcohol.

17. Pergunta 17 de 25

    Your hands have visible blood on them after helping at a scene. What should you use?

    • AAlcohol-based hand sanitizer
    • BA dry paper towel
    • CDisposable gloves over the blood
    • DSoap and water
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    Resposta: 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.

18. Pergunta 18 de 25

    A patient room has an isolation sign on the door and you need to go in. What should you do?

    • AGo in quickly so the germs do not spread
    • BCheck with the nurse and wear the protective equipment the sign lists
    • CAsk the patient to come out to the hallway
    • DIgnore it because signs are for nurses only
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    Resposta: 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.

19. Pergunta 19 de 25

    You find a used needle on the floor of a stairwell. What should you do?

    • AKick it into the corner
    • BPick it up carefully and put it in the garbage
    • CDo 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
    • DLeave it, since cleaners will find it
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    Resposta: 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.

20. Pergunta 20 de 25

    What is the safe rule for putting the cap back on a used needle?

    • ADo not recap needles unless a law requires it
    • BAlways recap using both hands
    • CRecap it, then bend the needle
    • DRecap it only if you are wearing gloves
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    Resposta: 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.

21. Pergunta 21 de 25

    You are stuck by a used needle. What should you do first?

    • ARinse the area under running water, gently wash with soap, and report it right away
    • BWait to see whether you feel sick
    • CSqueeze the wound hard and bite it
    • DPut on a bandage and finish your shift
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    Resposta: 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.

22. Pergunta 22 de 25

    When should a sharps container be replaced?

    • AWhen needles stick out of the top
    • BOnce a year
    • CWhen it is three-quarters full
    • DWhen it is completely full
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    Resposta: 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.

23. Pergunta 23 de 25

    What does Ontario's Personal Health Information Protection Act (PHIPA) govern?

    • ASecurity guard licensing
    • BFire alarm testing
    • CHospital parking fees
    • DHow personal health information is collected, used and shared in the health sector
    Mostrar resposta

    Resposta: 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.

24. Pergunta 24 de 25

    A caller asks you whether their friend was admitted to the hospital last night. What should you do?

    • ATell them if they give the friend's birthday
    • BSay yes, but do not give the room number
    • CDo not confirm anything and refer the caller to the proper hospital staff or process
    • DCheck the patient list and tell them
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    Resposta: 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.

25. Pergunta 25 de 25

    A Code Yellow is called for a patient who may wander. What is a typical security role?

    • ACall the patient's family and tell them to come and search
    • BCheck your assigned areas and exits using the patient's description, and report what you find
    • CWait in the security office for the patient to return
    • DLock all fire exits
    Mostrar resposta

    Resposta: 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.

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