A day in the life of County's interns has Pratt ordering each doctor to discharge 25 patients by the end of their shift. Ray is quickly pushing people out the door, but may be doing so by not paying enough attention to his patients; he okays a man's organs for transplant without getting proper consent from the man's wife. Dubenko looks out for Abby when Ray rides all over her in a trauma. Neela is a little rusty on her first day back at the hospital.

Sam and Luka move in together. When a raped and badly beaten woman is brought into the ER, Sam wants to try a risky procedure to let the woman talk. The woman dies, however, and Luka covers for Sam. At Susan's one-month review, Weaver suggests that she be more of a leader. Susan schedules a JCAHO drill, which proves to frustrate the staff more than help them learn. Even after giving birth, a young girl insists that she's not pregnant.