Ok, for the inbound actions, they're typically setup so that when one is processed, the rest down the line (with higher orders) are skipped. In this case it looks like you have an inbound action creating a new call record from the email. If you look in the inbound actions table you should find one called Varex Create Call. I would check the order on that inbound action and then set the order of your salesforce inbound action to be a lower number than that one. That will process your salesforce action first.
Generally you want to set your more specific inbound actions to run first and then a more generic catch all.
PS: New call in ServiceNow is like a staging record so someone can triage it and determine whether it ends up as an incident or request.
Service Desk Call
