whether you scrub or not depends on your facility's usage of surgical technicians, or if there is a shortage. i have been an RN in urology nursing for 20 years, and a nurse for over 30. my previous hospital was an ALL RN facility, and you scrubbed /circulated alternately, dependent on need. at that facility, the number of count errors was virtually zero, the number of surgical site infections was 0.3%. i like to think that is attributable to advanced education, and when i discuss this with former classmates in other facilities, i seem to find the same trend. for the last 24 years, at my current facility, there is a abundance of STs, and scrub days are rare, however i ensure that i scrub at least 5-7 cases per month, to maintain skill level. if you know how to scrub, being a circulator is much less difficult, and you are able to do a better job. in my opinion, if you can't do both, you are at a marked disadvantage.