Jac's ambitious plans for the hospital are pushing her staff near a breaking point. Donna struggles to balance it all. Will Madge keep her promise to spy for Regina?

Nicky must find the strength to be a mother to Juliet or give away her baby for good. As the hospital is forced to lock down, Hanssen has to help deliver Billie's baby. As AAU handles the Darwin overflow, Ange notices Madge behaving suspiciously.