How Nurse Jackie Almost Ended

Spoilers abound in this article if you haven’t caught last night’s series finale of Nurse Jackie. Everyone still here? Alright, let’s go!

Nurse Jackie ended a lengthy seven season run on Showtime last night, and the series ended with a bit of a cliffhanger. However, the scene at the end, which featured Jackie snorting heroine and collapsing as her co-workers rushed to come to her aid, was not initially the planned ending for the character. While it was a deliberately muddled end, it wasn’t supposed to be the outcome, at all. Recently, showrunner Clyde Phillips spoke out to explain the original vision for the frustrating but intensely caring character.

The half-hour ender was initially supposed to follow a fire. When the team was initially sketching out Season 7, the hospital was going to catch fire and Jackie was going to rush in to save the life of a heroin addict who was handcuffed to a bed. It was initially going to look as if Jackie had bit the dust in the fire, but Phillips told Variety that she would escape out of a small window and head to meet her co-workers, only to realize “she’s free” and head in another direction. With a burning building at the forefront, the episode would have been less Jackie-centric than the team wanted and they chose to go in another direction.

Still, you can see the general frame of the original finale in the ending that we got. There was Jackie helping what seemed to be the same heroin addict, bathing the patient’s feet and showing the genuine care she had always taken with her patients, even when she hadn't cared for herself. However, the finale’s version of Jackie did succumb to her addiction again, rifling through the patient’s clothing, finding a heroine stash and snorting it. While Jackie’s eyes were open in the end, the outlook did not actually look that good. The closing scene was vague enough that we don’t know whether or not Jackie managed to survive her ordeal, and that’s exactly what the Showtime team was hoping for.

I welcome that conversation (about the finale). I hope the show will be talked about in a healthy way for a while after it ends.

For seven seasons, Jackie was a character who struggled with addiction. Sometimes she briefly attempted to be sober, but more often she was using and looking for her next hit. In the interview, Phillips calls her a “train wreck” and says that it was time to let her go.

We’d played that out as long as we could. It was time for the show to end.

Seven seasons is a long time for any show to run—especially a show that’s essentially about one character and her constant struggles with addiction. Nurse Jackie may not have ended on the perfect note for every fan, but it’s nice to know the writers spent a long time figuring out her ultimate outcome.

Jessica Rawden
Managing Editor

Jessica Rawden is Managing Editor at CinemaBlend. She’s been kicking out news stories since 2007 and joined the full-time staff in 2014. She oversees news content, hiring and training for the site, and her areas of expertise include theme parks, rom-coms, Hallmark (particularly Christmas movie season), reality TV, celebrity interviews and primetime. She loves a good animated movie. Jessica has a Masters in Library Science degree from Indiana University, and used to be found behind a reference desk most definitely not shushing people. She now uses those skills in researching and tracking down information in very different ways.