Our standard is to have 2 circs and 2 scrubs in on most of our cases. The primary circ will be in on the majority of the case, and the float circ will help with initial counts, getting the room ready and providing breaks or assistance during the case. I think its really helpful to have 2 circs during bigger cases. We're able to run labs down and get blood products and needed supplies much quicker. Sometimes we get by with 1 circ and 1 scrub on some simple vascular cases if we're spread a little thin that day.