Table 1: Phlebitis Assessment Grading Scale
Site of Observation Score Stage/Action
Intravenous site
appears healthy. 0 No signs of phlebitis
One of the sign is
evident.
- Slight pain near
cannulated site.
- Slight redness.
1 Possible first sign of phlebitis.
- Observe cannula
Two of the signs
are evident
- Pain
- Redness 2 Early stage of phlebitis
- Resite cannula
All of the
following signs
are evident
- Pain
- Redness
- Swelling
3
Medium stage of phlebitis
- Resite cannula
- Consider treatment
All of the signs
are evident
- Pain
- Redness
- Swelling
- Palpable venous
cord.
4
Advanced stage
- Resite cannula
- Consider treatment
All of the signs
are evident
- Pain
- Redness
- Swelling
- Palpable venous
cord.
- Pyrexia.
5
Advanced stage
- Resite cannula
- Consider treatment