Morphological unknown,{ microbiology}

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UnknownSampleIdentificaitonForm.pdf

Cop right 8 2018 D.M. Rollins & R.L. Harris (SP) 11 - 4

UNKNOWN SAMPLE IDENTIFICATION FORM

UNKNOWN #1: U ing Cell la Mo pholog o Recogni e Mic oo gani m

Print Name Lab Section

Signat re U k S eci e N be : (-5 if left blank or rong #. This is o r patient ID. Neglecting to label or mislabeling res lts in patient deaths.)

Re e be U e P e Mic bi l gical Te i l g

P i Val e A e

3 pts. Gram Stain Reaction

3 pts. Bacterial Cell Shape

3 pts. Bacterial Cell Arrangement

2 pts. Is this an acid-fast organism? (Circle one) YES NO 1 pt. Did o perform and acid fast stain? YES NO 1 pt I f YES, describe the res lts

2 pts. Can this bacteri m prod ce endospores? (Circle one) YES NO 1 pt. Did o r perform and endospore stain? YES NO 1 pt. If YES describe the res lts

8 pts. Identification (Incl de gen s & species)

TOTAL POINTS EARNED: _____________