The next day, Goines and Cole watch a news story about scientists operating on animals. Cole wonders if maybe the human race deserves to be destroyed. Goines thinks that's a solid idea, but more long-term.
The orderlies come by to give Cole his meds.
Sometime later, after Cole is good and high, Goines swings by and gives him the key to the door. He then initiates a riot in the institution as a distraction.
Cole tries to escape, but his head has been nuked by those meds and he can't get his legs to cooperate.
At the elevator, the security guard seems to change into the warden from the future, who tells Cole to use the other elevator.
Cole is cornered and is, let's say, subdued by the orderlies. During the struggle, he returns the favor and "subdues" some of them in the face.
He's restrained on a hospital bed and moved into a locked room.