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   
G
ram-Positive   Identification


15

Points


For   
G
ram-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
G
ram-Positive   Identification


Points


For
G
ram-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