We have had a lot of trouble with starting a first case of the day on time. Problems stem from the pt not being ready in the ambulatory department, anesthesia coverage or the surgeon using his own time zone. The administration is now asking that the first case of the morning be brought to the OR for the procedure to start ON time. (NO EXCEPTIONS) If a delay occurs then we as circulators are to fill out a form for the delay. I'm not comfortable with this decision for a number of reasons. Has your OR had this problem and handled in a successful mannor?