Nelson Curtis, a nurse practitioner and Paula Morgan, a registered nurse are employed in two new permanent positions on the ward. Malcolm questions Von's competence as a nurse and whether or not she should be taking care of a patient with complications from a caesarean. On his way home, Mitch is witness to a terrible car crash. A delusional Rose contacts the Ward when Mitch fails to arrive home and alarms Terri, who must choose whether she wants to take the job at Stanford University. Terri finds Rose, unconscious with her life hanging in the balance.