A college co-ed falls from a balcony and once she is in the ER, TC and Paul find that her situation is even more complex. Jordan bonds with a terminal patient who teaches her some important lessons about living. TC's errant sister-in-law Annie returns and hopes to make amends. Meanwhile, Jessica - a pharmaceutical rep with cutting-edge equipment that Scott is so close to getting for the hospital - if her tension with TC doesn'thug the deal.
Shannon and Jordan venture out for some fun at a local wrestling event only to find themselves treating people onsite when a fight breaks out amongst the audience. Back at the hospital, Sam attends to a marathon runner who has collapsed from the heat and things start to heat up even more when the air conditioning breaks. Meanwhile, tensions between TC, Jordan, Sam, and Annie start to boil.
Welcome to the night shift, where every day is a fight between the heroic efforts of saving lives and the hard truths of running a hospital. At San Antonio Memorial, the men and women who work the wee hours are a special breed, particularly adrenaline junkie T.C. Callahan. After a grueling tour of duty in the Middle East, T.C. is about to learn that his toughest battles will be fought right at home. He and his irreverent team of late-night docs, including Topher and Drew, know how to let off steam with the casual prank or two, but when lives are at stake they are all business.
Unfortunately, the night shift is now under new management and boss Michael Ragosa is more interested in cutting costs than helping people. But T.C. has never met a rule he couldn't break, or a person he won't stand up to. And it's clear that not even Dr. Jordan Santos, T.C'.s ex-girlfriend and now Ragosa's second in charge, has a chance at keeping him in line. If Ragosa wants a war, he'll get one.