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In this video, Buck discusses the variability of surgical and procedural consent across different hospitals and administrations. He emphasizes that the requirements for obtaining consent can differ significantly, with some hospitals requiring the doctor to sign it while others do not. Instead, in certain cases, a patient may need to sign the consent with a witness, typically a nurse, PA, or EMT present in the preoperative area. Buck points out the importance of awareness regarding these differences for nurses, physician assistants, nurse practitioners, doctors, and medical students, as he has experienced these variations firsthand in numerous hospital settings.