At my hospital we have no policy for this. We have 1 RN to circulate the room and monitor the patient, and 1 person to scrub. Local cases are something we all dread to have assigned to us for that reason. I usually leave my charting go till after the case and spend my time with the patient. We have been trying to get a policy that requires 2 RN's in the room but as of now, and I've been in these OR's for 3 years, we still have no policy. But one thing we do have is no local cases will be done after hours or on the weekend.