How can I get my work done?

[Apelle]

I am having difficulty performing all my job tasks timely and thoroughly. I am an office manager at a small clinic, 1000 clients and growing. My job involves taking care of the office work/paperwork, finances, reception, pr, client relations, social media, IT, organizing activities and open houses, graphic designer, inventory, management of employees, as well as a fill in tech when no one else can assist the vet. I have been able to delegate a couple things, like orders and thank you cards, and they will answer phones and check out clients when they can If I can't, but I don't have enough staff to take more off my hands without over-loading them. The phone rings all day long, which is wonderful, but it leaves me with only playing receptionist and I can't get anything else finished. I feel stretched and tired and I am being under paid. What can I do to get my job done?
I have asked for a receptionist, word is we can't afford it and I should be able to do it.
I really can't have another staff member be designated to the phone for an extended period of time because we are too short of staff. They wouldn't be consistently available to take calls so I will end up doing it anyway. Most of the week it's just me, the doc, and a tech.

[reena]

Looks like you need to hire a receptionist that can answer the phone. You can't be in 3 places at once and when the phone rings all day... you won't get anything done.

An office manager should not be the one to answer the phones all day... that is what you hire a receptionist for.

If that is not an option... then assign a staff member to cover the phone for a set time frame. Example Sally covers the phone from 8 am to 10 am... then Joe for the next 2 hours, then the next person. This gives all of you some time on the phone but you also have time away from the phone that allows you to deal with other projects.

[Hans]

sounds to me like you can't get it done. inform your boss of the situation, one person cannot handle that many clients if you have to do all that.