Akalitus is all over the staff: HR has mandated a urine sample from all the nurses. Jackie keeps dodging her but she knows her number is up. Coop's wedding is today and Jackie has forgotten to get the cake. She enlists Zoey. Fiona gets caught trying to light matches at school and Kevin gets called in and can't reach Jackie who is dodging his calls. Now that Eddie thinks Kevin's onto them, Jackie is avoiding the inevitable conversation her husband is determined to have with her. Coop's bride stands him up at the altar and the staff rallies around him. Akalitus finally gets Jackie to take a pee test just as Kevin, with both girls in tow, arrives at the hospital. Everything is catching up with her. She hands Akalitus the urine, passes the girls off to O'Hara and goes to face her husband, who makes a jaw-dropping admission. Jackie sees a light at the end of the tunnel and ruthlessly tells him to pack his bags.