I do the same, I think.
I have a normal bar above the cross hotbar for infrequent actions (protects/raises, food, items etc) that varies by class and I can access by taking my left hand off the controller long enough to hit Ctrl+#.
I also have a vertical bar on the left for stuff I almost never use (or use in out of combat scenarios) such as target marking, gysahl greens, chocobo stances etc that is shared across all classes. I generally mouse click this.
