Which of the following should be reported immediately to the surgical team during a procedure?

Reporting any contamination of the sterile field immediately to the surgical team is critical during a procedure because maintaining sterility is essential to prevent surgical site infections and other complications. The sterile field is established to protect the patient from potential pathogens, and any breach—whether due to instruments, personnel, or other factors—can compromise this protective barrier.

Contamination may occur in various ways, such as accidental contact with non-sterile objects, spills, or unsterile personnel interfering with the field. Prompt reporting allows the surgical team to take appropriate action, which may include re-establishing a new sterile field or taking additional precautions to ensure the patient's safety.

In contrast, while increased light in the operating room may affect visibility, it does not directly compromise sterility. Similarly, a patient's hair or instruments falling on the floor, though requiring attention, typically would not take precedence over a breach in sterility. Ensuring the sterility of the environment is paramount for patient safety, making immediate reporting of contamination vital.