After discovering that she is pregnant, Dawn tries to find a way to tell Patsy; Jenna installs a new hospice care program into the ward; the staff struggle with assisting Dottie Levy, a patient suffering from severe alcoholism; while attempting to investigate her union benefits regarding her pregnancy, Dawn accidentally kick-starts an investigation into the ward's possibly toxic hand sanitizer; The daughter-in-law of a patient admitted for heart surgery is told by Jenna that her mother-in-law's state of health may be worse than they thought; Patsy has a medical emergency on the ward.

The staff finds itself in an awkward situation when one of Jenna's "adult" study photos mistakenly makes its way into the Christmas card competition. Didi is tempted by a visiting doctor. A patient with terminal cancer proposes a "final solution" to a startled Jenna. Patsy and Dawn's relationship comes to a head.