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In this video, Buck discusses the variations in surgical and procedural consent across different hospitals and administrations. He emphasizes that the process for obtaining consent can differ significantly, requiring different individuals to be involved, such as nurses, physician assistants (PAs), and medical students. The video highlights the importance of understanding these differences, as sometimes consent must be signed by the patient with a witness present, while in other cases, it may require the doctor's involvement. Buck shares insights from his experience in various hospitals to underscore the need for awareness among healthcare professionals regarding consent protocols.