Terri's relationship with Jack looks too broken to fix as she takes over from Nelson as Director of Nursing in the Emergency Department. When Jack intervenes on Jessica's behalf when she has a minor dispute with Terri, Terri resents his interference in the workplace and the end of the relationship looms large. Regina is finding it difficult to cope with the new pressures she faces in the Emergency Department. When a patient dies and she hasn't been able to provide an interpreter or medical files, Terri is forced to make a tough choice about Regina's future in the Emergency Department. Von is annoyed when her sister Anne is brought in by her daughter Kerry. Von believes it's all a trick to have the sisters finally meet but Anne is very sick, fighting an overwhelming infection on top of her losing battle with cancer. Elsewhere, Scott reports Mac for breaking protocol and earns the displeasure of his fellow ambos after Mac heroically saves a worker with severe burns.