This medical necklace is designed with RN and caduceus symbols featuring a blue circle crystal It is a meaningful jewelry gift to show the selfless love of doctors nurses and medical staff The pendant is made of lead free cadmium free and hypoallergenic 925 sterling silver The RN caduceus angel pendant measures zero point seven nine by zero point seven nine inches on an eighteen plus two inch chain making it easy to wear and suitable for any outfit This nursing themed jewelry arrives in a dainty present box perfect for nurses doctors physicians and medical students on occasions like Christmas Nurse Week graduation or birthdays Customer satisfaction is a priority with support available to resolve any concerns