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In this video, Buck discusses the variations in surgical or 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 notes that consent processes can differ significantly, with some hospitals requiring the doctor to sign the consent, while others necessitate the patient’s signature in the presence of a witness, typically a nurse or other healthcare provider in the preoperative area. His experiences in various hospitals illustrate the need for awareness of these procedural differences.