Our OR has a small group reviewing the count policy and trying to make appropriate updates and revisions. We are having conflicts of interest and varying opinions over instrument counts and the wording and actual procedure. Controversial concerns are how to word policy for cases like Lapooscopic cases possible Open Laparotomy. Also cases like Incision and Drainage for groin or abdominal wounds. Also do others out there do official legal instrument counts for inguinal hernia repairs, fem-pop bypasses? We want to be legally correct but get rid of the sacred cows of days gone by. Help!!!Any resources appreciated...AORN guidelines are not specific enough for policies.