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In this video, Buck discusses the variability of surgical and procedural consent across different hospitals and administrations. He emphasizes that consent requirements can differ significantly, with some institutions necessitating that the doctor secure consent, while others allow the patient to sign it in the presence of a witness, typically a nurse, PA, or EMT. Buck highlights the importance of this knowledge for healthcare professionals, including nurses, physician assistants, nurse practitioners, and medical students, as understanding these differences is crucial for their roles in preoperative settings.