If you don't want this to trigger when a record is the current record, then tell us exactly when it should trigger? Also, do you realize the time format can be about 1/10 or 1/100 of a second? Does the date and time have to be exact?
This is what Outlook or other scheduling programs can do for you. If you want to do this in Access, you could open a hidden form with a timer event running. The code would need to look at all of the appointments to determine if any are happening within a specific time range based on the current time. You can use Now() as the current datetime. You might need to be able to "dismiss" an appointment by storing something in a field in the appointments table.
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