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In this video, Buck discusses the variations in surgical consent procedures across different hospitals and administrations. He emphasizes that the requirements for obtaining consent can differ significantly, impacting nurses, physician assistants, nurse practitioners, doctors, and medical students. Buck notes that in some hospitals, a doctor must complete the consent process, while in others, the patient is required to sign it in the presence of a witness, typically a nurse or other medical staff in the preoperative area. His experience across various institutions highlights the importance of understanding these differences in consent procedures.