I am a RN/BSN for 4 physicians at a pediatric practice. There are 2 receptionists and 2 nurses. I'd estimate that the nurses spend 8-10 or so hours a week sitting up front doing receptionist work and along with normal nursing tasks - vitals, vaccines, triaging phone calls, speaking with insurance, care coordination, etc. I've brought it to the attention of the physicians but since we are a small practice they want everyone to help out. I'm fine with doing receptionist work, but often end up really busy and behind in my own work or staying extra and not getting paid for it. Is it normal practice for nurses to fill in up front? Any one else experience this? What is the normal physician to receptionist, MA or nursing ratio? Thanks for any input.