Inadequate handoffs are persistent issues in hospitals contributing to patient safety concerns. Standardization of handoffs reduces general adverse events, increases effectiveness of communication, satisfaction, and overall quality. Despite recommendations by the Patient Safety Group at The Joint Commission, our local pediatric intensive care unit did not have a formal standardized nurse handoff. The purpose of this quality improvement project was to implement a standardized process for shift handoffs and evaluate the influence on nurse perception of communication and handoff quality. The project included the development of standardized handoff materials, nurse education, surveying nurses on their perceptions of handoff quality, and performing observational audits. Data was analyzed and results showed a strong overall adherence to the standardization at 86%. However, there was no statistically significant improvement in nurses? perceptions of communication or handoff quality after implementation of the standardized handoff. Ongoing education and data collection is needed to sustain the standardized process. Future work should consider the impacts of this handoff process on patient safety and adverse events.