Speculation runs through the ER, on a very hectic day, about Randi's possible criminal history. Mark faces an ethical dilemma when he has to decide whether to report yet another of Doug's indiscretions; he slept with med student Harper Tracy. Carter becomes upset when she confesses this to him. Carol meets with a mobile notary to finish the paperwork to purchase a house. Bernstein informs Doug that he needs to look for other employment. Benton is visibly upset when Jeanie begins work in the ER as a physician's assistant.

Doug's heroics earn him a second chance as Bernstein and Morgenstern ask him to stay on. Doug and Mark clash when each treats a seriously injured patient and want to use the same equipment. Benton learns that Jeanie has separated from Al. After missing an earlier diagnosis, Carter overcompensates on his next patient and catches a break when the test results reveal something. Shep gets on Carol's bad side when he makes disparaging remarks about people with botched suicide attempts. Doug gets a phone call from his estranged father. Later Doug shows up drunk for his own awards ceremony threatening an obnoxious speech, but he reconsiders and recovers nicely.