This stethoscope necklace design celebrates nursing as a work of heart. It incorporates a February birthstone and is a unique meaningful gift for nurses physicians surgeons doctors dentists and medical students. Crafted from high quality hypoallergenic 925 sterling silver it is nickel lead and cadmium free. The pendant measures zero point eight six inches and the chain includes an extension for comfortable long term wear. Presented in a gift box it is perfect for any occasion. Our commitment includes dedicated customer service to ensure your complete satisfaction.