How Do I...
Click on the questions below to see the answer
Respond to an exposure incident: needle stick or a splash in the eye,
nose, or mouth?
The very first thing to do is immediately wash the affected area with
soap and water, or rinse the eyes, nose or mouth.
Do not use bleach, although the use of an antiseptic is not
Seek professional medical attention. Federal laws requires that
occupational exposure incidents be properly documented.
Click here for more
information on exposure incident response.
Respond to a Infectious Medical Waste spill or discharge?
Personnel who respond to or clean up spills of infectious medical waste
must be trained on safe handling techniques and employ these techniques, and
they must have appropriate personal protective equipment and use the PPE
from the emergency spill kit.
If the spill involves a waste transport vehicle and waste in excess of fifty (50) pounds,
the operator and the WV Infectious Medical Waste Program must be notified immediately.
The area of the spill should be identified with caution tape so that no
unauthorized personnel are allowed to enter.
The spill should be saturated with a disinfectant solution. A
listing of approved
disinfectants is maintained by the EPA. Only products listed in
Table E are approved for use in spill clean up in West Virginia.
The spill should be cleaned up and absorbent materials disposed of as
infectious medical waste. Broken glass or other sharps should be
collected with a shovel or dust pan to prevent injury.
The area should be saturated with disinfectant solution again and
allowed to remain saturated in accordance with the manufacturer's
After the allotted time, the spill area should be wiped or mopped again,
and any disposable materials, including PPE, can be discarded as solid waste
unless grossly contaminated with blood.
Immediate actions should be taken to replenish the supplies used from
the emergency spill kit.
Determine if my facility needs an Infectious Medical Waste permit?
Any facility generating over 50 pounds of Infectious Medical Waste per month is
classified as a Large Quantity Generator, and is required to obtain a permit from our
You can download the permit
Please feel free to
if you have any questions.
Obtain a permit to haul infectious medical waste in West Virginia?
Vehicles used to haul waste are required to be permitted by our Office.
Section 9 of the West Virginia Infectious Medical Waste Rule addresses the requirements
You can download the
vehicle permit application here.
Instructions on how to download a copy of the Rule are below.
Obtain a copy of the West Virginia Infectious Medical Waste Rule?
The rule is available online at the
Secretary of State's web site (Click above to be directed there).
Go to the bottom of the page and select the format you wish to download the Rule
in: MS Word or WordPerfect.
You can also get a printed version of the Rule from the
West Virginia Secretary of State
Bldg. 1, Suite 157-K
1900 Kanawha Blvd. East
Charleston, WV 25305-0770
Report a problem at a medical facility?
Make a solution of bleach water to use as a disinfectant?
When using bleach as a disinfectant, a fresh solution must be made
For routine cleaning/disinfecting of normal surfaces that are not
grossly contaminated a 1:100 solution of bleach is recommended.
Add 3 Tablespoons (1.5 fl. oz.) of household bleach to 1 gallon of water, 1 Tablespoon
(0.5 fl. oz.) per 1 pint of water.
To clean up a large volume of infectious fluids, such as during an
infectious medical waste spill, a 1:10 solution of bleach to water should be
Add 1.6 Cups (13 fl. oz.) of household bleach to 1 gallon of water, 1/4 Cup
(2 fl. oz.) per 1 pint
The above calculations are based on regular bleach which contains 5.25% sodium hypochlorite (NaOCl). If the
product you use has less than 5.25%, you will need to add more bleach.
Dispose of sharps and medical waste generated at home?
Medical wastes generated in a residence by self-administered health
care, or by a home health agency, is exempt from regulation in West
Virginia; except that sharps must be handled correctly.
Sharps must be collected in a puncture-resistant container. A
guide for residential sharps disposal
Please let us know if you have any other questions or concerns.
Contact DaContact Donna
Gorbey-Michael at (304) 368-4420 ext 79404 or