This report presents a progress appraisal of a student's practicum project focusing on nurse hand-off communication within a critical care unit. The student investigated the significance of hand-off reports in ensuring patient safety and quality care, emphasizing the transfer of accountability between nurses during shift changes. The report details the importance of interdisciplinary communication and accurate patient record documentation. Challenges included persuading colleagues to adopt mandatory hand-off reports and adhering to guidelines. Technological interventions were suggested as potential solutions. The student also highlights the need for allied health specialties to follow nursing handovers more diligently. The report references relevant literature supporting the integration of hand-off communication in nursing curricula and clinical practice, including studies on electronic record reviews and practice changes.