The episode starts with the show's principal character, JD, by narrating everything that goes around him, that he has been able to sleep through anything, storms, sirens, but his first day at sacred heart meant that he wasnt able to sleep.
He's feeling pretty cocky and full of himself as he is a newly qualified Dr. capable of anything and everything, this comes crashing down the moment he steps through the doors and into the reality of being a doctor, as he just doesnt know where to go, what to do, what's happening where, when or by whom.
Then the stark reality of who does all the work, knows all that is happening and is the centre of the wards is made known, the nurses, and the main nurse being carla takes JD under her wing and calls him bambi and takes him under her wing, esp. when Perry asks him to do a procedure, only for him to take too long, so he gets Carla to do it.
Perry as a defence mechanism, doesn't call JD by his name but insists on calling him a variety of girls names, so that he can detach himself from various underlings.
Bob Kelso, shows his true inner self, as he tells JD, that he is only to treat patients with insurance. Then Perry tells him that if it becomes known that the nurses are doing his procedures for him, that he'll be fired, but it gives him the incentive to get the nurses to help him get them right.
On his second day, he has to wait by the sliding door as the Janitor is fixing it, JD suggests it might be a penny, the janitor asks why a penny and the mind games of the janitor starts. Also the friendship between Elliot and JD heats up, when she says she doesnt know the answer when JD is stuck, but answers it when she is asked. Turk says he needs some space and that he and JD should not room together, but by the end of the episode has relented this decision and has JDs keys in his pocket.
But Elliott gets back into JDs good books by getting the permission of a family member to perform an autopsy on their recently departed family member. Then as he is wraping up his 3 days on shift, feeling good that he didnt really make a complete prat of himself, he knocks himself out on the exit door. LOL TFF.