Abstract Introduction Clinic staff at a regional verified burn center reported a trend of patients coming in for follow up appointments confused about home wound care due to written discharge instructions that did not match what they were taught in their last inpatient wound care session. Examples of inaccurate instructions included referring to topicals the patient was not currently using or failing to address the care of all wound types present. The reported cases were reviewed by nursing and physician leadership through the burn center quality improvement process. Methods A retrospective chart review of all patients discharged with open wounds was completed for the previous 5-month period to establish a baseline rate of inaccurate instructions. Discharge instructions were counted as inconsistent if they did not match the wound types, dressings, and topicals charted in the patient’s last inpatient wound care. Contributing factors identified included that the instructions were most often free texted by rotating surgical residents. It was decided that pre-written choices might improve the accuracy of the instructions. A wound care discharge template was developed through a collaboration with the hospital clinical informatics department. The design included drop down choices for dressings, topicals, and body parts. Standard phrases within each selection were written by an experienced burn service provider. Discharge education was added to the monthly in-service for resident physicians. A large sign with instructions for the template was placed in the physician workroom along with cards posted to the top of each computer. Audits comparing the discharge instructions to the last wound care note then continued for a 4-month period. Results The retrospective chart review revealed an average of 28% of discharge instructions were incorrect or incomplete each month, with a range of 25–32.7%. In the 4-month period after the template was released, the monthly average dropped to 12.85%, with a range of 7.7–17.9%. It was also noted that inaccurate instructions in the post-template audits typically only had a small error compared to the more complicated errors noted prior to the template implementation. Conclusions The incidence of incorrect wound care discharge instructions written by burn team providers decreased with the introduction of a discharge wound care template. More analysis is needed to identify additional opportunities to further decrease the rate of inconsistencies. Applicability of Research to Practice Thorough and accurate wound care instructions with standardized language may improve the patient’s confidence with performing wound care at home and improve their post-discharge experience. Consistent wound care instructions also help to ensure that the wounds are cleaned and dressed with the appropriate topicals and dressings, potentially decreasing the risk of infection and graft loss.