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In this video, Buck discusses the variations in surgical consent procedures across different hospitals and administrations. He emphasizes the importance of understanding these differences for healthcare professionals, including nurses, physician assistants (PAs), nurse practitioners (NPs), doctors, and medical students. Buck notes that consent requirements can differ significantly: sometimes the physician must obtain and sign the consent, while in other cases, it may only require the patient's signature with a witness present, often a nurse or another healthcare provider. He highlights the necessity for medical professionals to be aware of these procedural distinctions.