You Can’t Chart Moral Injury
What They Don’t Teach You About Being a Nurse
By Orlando Rivera, DNP, MBA, RN, Paramedic
 
This isn’t a nursing book. This is a reckoning.
They trained you to chart. To follow policy. To survive.
But they never told you what to do when the code ends and you’re crying in a supply closet or how to keep showing up after the shift that changed you.
 
You Can’t Chart Moral Injury puts words to the pain nurses carry but rarely say out loud.
 
Written by a paramedic-turned-nurse-executive who’s seen it all, from the bedside to the boardroom, this book exposes what’s really breaking nurses: moral injury, betrayal, silence, and the slow erasure of who we used to be.
 
Inside are the stories you’ve lived.
The med room confessions.
The pain behind the professionalism.
The truth behind the turnover.
 
“We weren’t burned out. We were betrayed.”
 
This book isn’t here to inspire, it’s here to validate, to confront, and to demand better.
 
If you’ve ever cried in your car, questioned your purpose, or felt alone in the job you once loved…
 
This book is for you.
 
You’re not weak.
You’re not broken.
You’re a nurse in a system that forgot we’re human.
 
We’re still here.
But we’re not the same.
 
And it’s time we stop pretending we are.