Home Medications 5. Reviewing and signing off MAR changes

5. Reviewing and signing off MAR changes

Last updated on Apr 28, 2026

Whenever someone changes a medication record (adds, edits, stops, restarts), BEHCA creates a MAR version and notifies designated reviewers. This article covers the review side.

Why reviews exist

Medication records are clinically and legally significant. The review workflow:

  • Adds a second-pair-of-eyes check on any changes.

  • Creates a signed audit trail for regulators, families, and prescribers.

  • Catches mistakes early — before staff start administering a wrong dose.

Who reviews

Reviewers are configured per organization. Typically:

  • Managers with Review MAR permission receive review notifications and can approve.

  • Specific staff (e.g. nurses) can be granted review rights.

  • The person who made the change usually can't review their own change (depending on configuration).

If you have Review MAR permission, you'll see review prompts; if not, the workflow runs without involving you.

Where to review

On the web

  1. Sign in at app.behca.com (US) or au.behca.com (Australia).

  2. Open MAR for the profile.

  3. Click MAR Versions (or look for a notification banner about pending reviews).

  4. Browse the list of changes — each shows what was added/edited/stopped, who did it, when, and the current review status.

On mobile

Reviewers may receive a push notification linking directly to the version page on the web. Heavy review work is best done on the web.

What you'll see in a version entry

Each version shows:

  • What changed — e.g. "Risperidone 0.5mg added", "Sertraline schedule changed from BID to TID".

  • Who made the change — name and timestamp.

  • The previous state of the medication, side-by-side with the new state, where applicable.

  • Reviewer slot — empty until reviewed, then showing the reviewer's name, time, and any notes.

Approving a change

  1. Read the change details carefully.

  2. Cross-check against the prescription order, label, or clinician note if available.

  3. Click Approve (or Sign Off).

  4. (Optional) Add reviewer notes — context that future readers may want.

Once approved, the version locks. The medication's current state reflects the approved version.

Rejecting / requesting changes

If something looks wrong:

  1. Don't approve.

  2. Use the comments / notes to flag the issue.

  3. Contact the person who made the change directly.

  4. They can edit the medication, which creates a new version to be reviewed.

There isn't a formal "reject" button in most setups — the workflow is approve or wait.

Multiple reviewers

If your organization requires more than one reviewer (e.g. RN + Manager), each reviewer signs off independently. The version is fully approved when all required reviewers have signed.

Reviewing past versions

The MAR Versions page shows the full history of every change to every medication on the profile, in reverse chronological order. You can browse to see how a medication has evolved over time, which is useful for clinical reviews.

Common questions

  • What happens if a change isn't reviewed? — The medication is still active; staff continue to administer. Lack of review is a paperwork issue, not a clinical block.

  • Can I edit my own change after submitting? — Yes, but it creates a new version that needs reviewing again.

  • Do I get notified about every MAR change? — Yes — if you have Review MAR permission. If you're getting too many, ask your Manager to refine who reviews what.

  • Is there a paper printout of approved versions? — Yes, the MAR PDF export includes version history. See Exporting PDF reports.