You can add contraindications to you medications as they are added to your system. A contraindication is a condition or factor that will create a caution message or prevent the administering of a medication in REACH based on the potential harm that it may cause to a patient.
Indications is the reason why a patient is prescribed or is taking a medicine whereas Contraindication is the opposite of an indication, it is a reason why a patient should not take a medicine.
Adding Contraindications when creating medicines
When creating a medication in REACH you can create user defined contraindications that will generate caution alerts or prevention when administering a medication to a student.
Example 1 Panadol will contraindicate with itself if attempting to be administered < 4hrs apart.
Example 2 Paracetamol may contraindicate with some cold & cough mixtures which have Paracetamol as an ingredient.
In medicines there are two types of contraindications:
- Relative contraindications means that caution should be used when two drugs or procedures are used together. (It is acceptable to do so if the benefits outweigh the risk.)
- Absolute contraindication means that event or substance could cause a life-threatening situation. A medicine that falls under this category must be avoided. There are many medicines should not be used together by the same person.
Contraindications are generally a relationship between two medications however you can also use contraindications to manage minimum time intervals between dosages of a single medication.
A Contraindications message is triggered when the Contraindications Rule is triggered. Relative contraindications can be set to deliver a caution message (soft restriction) whilst Absolute contraindications can be set to prevent a medication from being administered (hard restriction)....
How to Add Contraindications
Click the Add button in the Contraindications section to add contraindications for any medicine.
- Select the medication you want to set as the contraindication
- Set the Rule Time for the contraindication. This rule works with the logic "if < x hours then" implement the restriction set in (3)
- Set the Restriction method (Hard or Soft).
- a Hard restriction will prevent the intended dosage from occurring
- a Soft restriction will provide a caution or warning alert only and will not prevent the intended dosage from occurring
- Set the Description. Describe why the contraindication exists or a description of your Rule.
- Set the Message. This is the message that will be provided to the user that is attempting to administer the medication to the student.