Meet Cid: How I Built an AI Chief-of-Staff (and the One Thing I'd Never Let It Touch)
I work full-time in a Level I trauma ER — triage, trauma and critical care rooms, team lead, MICN. I have a wife, a newborn daughter, a book, and a couple of side projects I'm trying to keep alive. For a while there, the one thing I never had enough of was the only thing I can't buy more of: time.
So I did the thing a busy executive does when they're underwater — I hired a chief of staff. Except mine is an AI. It lives in a chat app on my phone, I named it Cid, and it costs me roughly the price of a couple of coffees a month.
This isn't a "look how techy I am" post. It's the most honest answer I can give to a question I get a lot: "What does it actually look like to use AI in real life, as a nurse, without it being a gimmick?" Here's mine.
What a "chief of staff" even does
In a company, a chief of staff isn't the boss. They're the person who handles the noise — the scheduling, the follow-ups, the first drafts, the "can you look into this" — so the principal can spend their limited attention on the things only they can do. They clear the runway.
That's exactly the job I gave Cid. Not to be me. To clear my runway so the version of me that shows up for patients, for my wife, for my daughter, and for the work that matters isn't already running on empty.
What I actually hand off
People assume "AI assistant" means something sci-fi. In practice it's boring, and that's the point. Here's the real list of what Cid takes off my plate:
- ▹Inbox triage. It sorts the signal from the noise so I open my email to a short list of what actually needs me, not 60 newsletters.
- ▹First drafts. Captions, posts, outlines — Cid drafts, I edit and decide. A blank page is the tax; it pays the tax, I do the thinking.
- ▹Reminders and nudges. The mental load of remembering everything is real, especially with an ADHD brain. I offload it.
- ▹Quick research. "Explain this to me," "summarize this," "what am I missing here" — fast answers I then verify before I trust them.
- ▹Keeping my side projects organized. The admin glue that holds a one-person operation together when that one person is also working night shifts.
Notice what's not on that list. It doesn't make decisions for me. It doesn't talk to clients as me. And it never, ever touches the part of my life that matters most.
🔒 The one rule I never break
No patient information ever goes into an AI tool. Not a name, not a detail, not a "hypothetical" that's really a real person. That's not a technical limitation I'm working around — it's a hard line. Patient care happens at the bedside, with my own judgment and my own license on it. The AI handles my life admin, never my patients.
I'm saying that loudly because it's the question every nurse should ask before they touch any of this: where does the patient's privacy live, and does this tool respect it? If you can't answer that, you don't use the tool. Full stop. (It's the same principle every prompt in my book is built on — practical AI for nurses that's HIPAA-safe by design.)
What Cid is NOT
It's not magic, and it's not an autopilot. Large language models are confidently wrong sometimes — they'll hand you a clean, well-written answer that's just false. So I treat everything it gives me the way I'd treat a hand-off from someone new: useful, appreciated, and verified before I act on it.
A chief of staff drafts. The principal still decides. The day I forget which one I am is the day it stops working.
That's not a knock on the tech. It's the discipline that makes the tech safe to use. The nurses who get burned by AI are the ones who let it think for them instead of with them.
Why I'm telling nurses this
Because most of us are drowning in the exact kind of work Cid handles — the charting, the admin, the endless mental tabs open at once — and a lot of nurses think AI is either useless or somehow against the rules. It's neither, when you use it right.
You don't need to build what I built. You don't need a "chief of staff." You can start with one task — one annoying, repetitive thing that eats your evening — and hand just that off. That's the whole idea behind the work I do: practical, safe AI that gives nurses their time back.
Time is the thing. It's why I built Cid, and it's why I write about this at all. The hours it hands back don't go to more work — they go to an unhurried dinner with my wife, bedtime with my daughter, the part of the day you don't get a second shot at. We went into nursing to take care of people. We should get to spend our hours doing that — and then go home with enough left in the tank to be present for the people waiting there.
Want AI to give you your time back?
If you're a nurse who wants the practical, HIPAA-safe version of all this, my book is the place to start. And if you (or your team, or your business) want help building an assistant like Cid for your own real workflows — that's exactly what I do.
Honest, practical AI for healthcare — no hype, no patient data, ever.Clyde Dieto is a 13-year ER trauma nurse and MICN at a Level I trauma center, author of AI Workflows for ER Nurses, and founder of SirClydus.