Get H2 Form

The H2 Form is a critical document for recording hip operations, including various revision procedures. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring that all necessary information is accurately captured.

Follow the steps to fill out the H2 Form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering the patient details. This includes ticking the box for 'NJR Patient Consent Obtained' and filling in fields such as Patient Hospital ID, Body Mass Index, Height, and Weight.
3. Provide the patient identifiers. Enter the Forename, Surname, select Gender, Date of Birth, and provide any Overseas Address or Postcode.
4. Fill in the operation details, including Hospital name, Operation Date, and types of anaesthetic used. Make sure to select the Patient ASA Grade and Operation Funding option.
5. Input surgeon details, specifying the Consultant in Charge, Operating Surgeon, their grades, and if applicable, the First Assistant Grade.
6. Detail the hip revision procedure. Indicate the Procedure Type, Side of Revision, and provide any relevant Indications for findings at the time of revision.
7. Complete the primary operation details by entering the Primary Operation Date or Year and the Primary Operation Hospital.
8. If applicable, specify components removed, including the Femoral and Acetabular Components, indicating brand details where available.
9. Indicate the surgical approach used for the procedure along with patient position.
10. Fill in the thromboprophylaxis regime and note if bone grafts were used for the femur or acetabulum.
11. Document any intra-operative events that occurred during the procedure.
12. Affix any necessary component labels to the provided sheet, ensuring all details, including cement, are complete. Confirm that any extra component label sheets are attached.
13. After completing all sections, save the changes, download a copy for your records, or print the form for submission.

Encourage others to complete their forms online for a smoother process.