REQUESTING   VIRTUAL ONLINE TEST MEDIA Ø Reagents & hydrogen peroxide for catalase test DO   NOT need be requested

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

Virtual Online Mixed Unknown Identification Form/Patient Chart

Unknown ‘Patient Specimen’ Identification # . (Penalty: -10 points if omitted; YOUR patient has died) ALWAYS REMEMBER: Your patient’s life is ‘in your hands.’)

· Assume you are a healthcare professional. Consider this form to be your ‘patient’s chart.’ Your patient’s health or life may depend upon you always having labeled specimens correctly and recorded results accurately.

Type Name Lab Section

NOTE: Your Identification Form may vary. Point distribution will be determined by your Instructor.

Copyright ( 2020 D.M. Rollins (SP20-1)