I'm happy to know that I wasn't ridiculous in thinking the same as you all have. This is a difficult situation because there is only one doctor and he is the sole owner of the center/clinic, 2 of us mid levels. The other has been with him over 15 years. They haven't been able to hold down a second NP in all those years. There is 1 MA, 1 office manager, 1 medical trascriptionist, 1 receptionist, and that's it. The last medical transcriptionist was also doing billing/coding and serving as MA checking in patients when the MA was out. She was MA and transcribing for all 3 of us providers and was fired because she Refused to serve as a scribe for the doc on top of what she was already doing. There is one Pre-op, one OR, and one post-op Rn. The same day surgeries are all simple ortho surgeries. In the pre-op RN role, I would have to start an IV, fluids, EKG, check if the consents are complete and all the pre-op paper work then in the OR, help the doctor scrub in and out and document the surgery. There are about 5 patients only a day. During post-op role, I have to explain home care instructions, Write the prescriptions for the pain medicine, vital signs, discarge Home paperwork. I don't know if this makes it any better. On top of that, I was urged to send the other nurses home as soon as I felt confident to do these tasks all on my own. It seems like I'm left to do the dirty work that the office manager should be doing. The nurses shouldn't be disposable.