mixed unknown

  

   

REQUESTING   VIRTUAL ONLINE TEST MEDIA

Ø Reagents & hydrogen peroxide for catalase test DO   NOT need be requested. 

IMPORTANT: Before Requesting   Virtual Online Media:

i) Fill in each test   medium/media   that you are requesting in the correct   column below

ii) Fill in each test   medium/media in order starting from #1.

If not performing a virtual ID due to   COVID-19, before coming to the Media Bench you would normally:

i) Complete the Test Media Requested portion of this form.

ii) Prepare all your   labels. 

iii)  Bring a test tube rack, if you are   requesting tube media.

iv)  Bring these to the   Media bench, where your instructor would provide you with requested test   media.

DO NOT TAKE MEDIA   FROM MEDIA BENCH WITHOUT PERMISSION FROM YOUR INSTRUCTOR.

 

TEST   MEDIA REQUESTED (6 Maximum for Each Organism)

 

15

Points

For   Gram-Positive   Identification

15

Points

For   Gram-Negative   Identification

 

Day 1

Columbia   CNA Agar (provided free)

Day 1

Maconkey Agar (provided free)

 

Day 1

Trypticase   Soy Agar (TSA#1) (provided   free)

Day 1

Trypticase   Soy Agar (TSA#1) (provided   free)

 

H2O2   for Catalase Test (provided free)

 

#1

#1

 

#2

#2

 

#3

#3

 

#4

#4

 

#5

#5

 

#6

#6

   

UNIQUE   CHARACTERISTICS & TEST RESULTS

 

Points

For Gram-Positive   Identification

Points

For Gram-Negative   Identification

 

FREE

Gram   Stain Reaction: Positive

FREE

Gram   Stain Reaction: Negative

 

5

Cell   Shape:

5

Cell   Shape:

 

5

Cell   Arrangement:

5

Cell   Arrangement:

 

10

TEST

RESULT(S)

10

TEST

RESULT(S)

 

 

 

 

 

 

 

 

 

 

15

Genus & species: 

15

Genus & species:

 

For Instructor’s Use ONLY

 

50

Total Points   Earned

50

 Total Points Earned