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In this video, Buck discusses the variation in surgical procedural consent procedures across different hospitals and administrations. He emphasizes the importance of understanding these differences for nurses, PAs, NPs, doctors, and med students. Buck highlights that in some hospitals, the doctor must sign the consent, while in others, the patient must sign with a witness such as a nurse, PA, or EMT. The inconsistency in consent protocols underscores the need for healthcare professionals to be aware and informed.