You Can’t Chart The Future
Why Broken Systems Make or Break Tomorrow’s EMS and Nursing Leaders
By Orlando Rivera, DNP, MBA, RN, Paramedic
Leadership isn't a title. It’s a decision. And the seat is waiting.
But what happens when the next generation of EMS and nursing leaders are handed the keys to a broken system? When they inherit burnout, betrayal, and trauma and are told to “fix it” without support, mentorship, or protection?
You Can’t Chart the Future is a raw, unflinching look at the real cost of leadership in healthcare today. Written by a paramedic-turned-nurse-executive who’s been lied to, burned out, and called back to lead anyway, this book isn’t a lecture. It’s a lifeline.
Through gut-wrenching stories, brutal truths, and moments of unexpected hope, this book speaks directly to the leaders no one is preparing, the ones rising from the bedside, from the chaos, from the call rooms and crash carts, trying to lead without losing themselves.
This is not about theory. This is about survival. Purpose. Power. And choosing to lead differently.
Because the future of healthcare will not be saved by policies.
It will be saved by people brave enough to stay in the room.
YOU CAN'T CHART THE FUTURE
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