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In this video, Buck discusses the variances in surgical or procedural consent across different hospitals and administrations. He emphasizes that consent processes differ significantly, which is important for healthcare professionals including nurses, PAs, NPs, doctors, and medical students to understand. Buck shares his experiences from various hospitals where the consent requirements can vary. In some cases, the doctor must sign the consent, while in others, the patient needs to sign it in the presence of a witness, typically a nurse or PA. He highlights the need for awareness of these differences in consent procedures to ensure proper compliance and patient care.