<P> She met and immediately befriended Dr. John Carter upon his return from Africa, happy to "put a face to the name". </P> <P> Later in season 12, a wealthy patient named Richard Elliot (played by Armand Assante) enters the ER . He suffers from a debilitating disease in where he needs an in - home nurse . He takes a liking to Sam and offers her a well - paid position as head nurse . He assures her that she would still be able to keep her job in the ER, and invites her and Alex to live in a section of his mansion for convenience . She denies at first, but upon discovering that Alex cannot be in the tutoring program due to lack of funds, she visits Elliot's home and asks if the offer still stands . </P> <P> In the 12th season finale, "21 Guns", Steve, an EMT Student named Mary and another prisoner named Rafe hatch an escape plot: Steve and Rafe injuring themselves and then escaping from the hospital . They stab Luka with a syringe as Sam looks on in horror . Because the syringe contained a paralyzing drug that would have led to his death, Sam steps in and treats him in spite of the prisoners' threats, saying she is going to make sure he doesn't die regardless of what they say; Steve makes his partners back off long enough for Sam to intubate Luka . They proceed to start shooting throughout the hospital once police catch on, using Sam as a hostage . Jerry Markovic is hurt in the shooting . Steve drags Sam outside, towards the getaway van . She begs him, "Think about Alex!" but as it turns out, he already had, and Alex is tied up inside the van . Sam immediately gets in the van after seeing Alex, and later, Steve tells her that God spoke to him, and told him he had to get his family back together . With Sam and Alex as hostages, the three attempt to make an escape to Canada . </P> <P> However, in the 13th season premiere, "Bloodline," the escape hits a few obstacles; Sam attempts to get help, and a police officer chases after the group, ending with the officer's (presumed) death . As the three argue about the escape plan, Steve shoots and kills Rafe and Mary, leaving only Steve, Sam and Alex. Steve tells Sam that he would rather have himself, Sam and Alex dead than apart, and then proceeds to rape Sam . Some time after, Sam, lying next to a sleeping Steve, proceeds to make her getaway with Alex . As she is about to escape, however, she returns to the still sleeping Steve, grabs his gun and kills him . </P>

What episode of er does sam get kidnapped