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In this video, Buck discusses the variability of surgical and procedural consent across different hospitals and administrations. He emphasizes the importance of understanding these differences for healthcare professionals, including nurses, physician assistants, nurse practitioners, and medical students. Buck points out that consent procedures can vary significantly; in some hospitals, the doctor must sign the consent, while in others, the patient may need to sign it with a witness, typically a nurse or another healthcare provider in the preoperative area. He stresses that many people may not be aware of these inconsistencies, highlighting the need for awareness in clinical practice.