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In this video tutorial, Buck discusses the importance of understanding and obtaining surgical procedural consent, highlighting the variability in consent processes across different hospitals and administrations. He emphasizes the necessity for various healthcare professionals, including nurses, PAs, NPs, doctors, and medical students, to be aware of the differing requirements for consent in different settings. Some hospitals may require the doctor to obtain consent, while in others, the patient may need to sign the consent form with a witness present, such as a nurse or a PA. It is crucial for healthcare professionals to be familiar with these variations to ensure proper consent procedures are followed.