Akalitus doesn't trust Jackie when she shares the news that the hospital is being sold to Norwegian developers; Carrie meets Coop's proposal with an unexpected reaction that causes him to make a major life decision; Jackie's dealing takes a surprising turn when she gets strapped for cash.

Jackie, Dr. Prince and Akalitus are forced to run the ER without nurses when Zoey leads a walkout to protest the hospital closing. Meanwhile, Jackie battles her cravings when she treats a heroin addict.