The birthstone stethoscope necklace with a caduceus pendant honors nurses, doctors, and all medical personnel for their commitment to care and healing. The December blue topaz represents the wearer's strength, passion, and dedication. Crafted from hypoallergenic 925 sterling silver, it is nickel-free, lead-free, and cadmium-free, making it safe for sensitive skin. The pendant measures 1.04 by 0.85 inches with an 18-inch chain, perfect for everyday wear. This RN nurse necklace makes a great gift for women, moms, sisters, wives, doctors, medical students, friends, and colleagues. It is ideal for Nurses Week, Mother's Day, graduation, birthdays, anniversaries, Thanksgiving, Christmas, and Valentine's Day. Customer satisfaction is our priority. Contact us with any questions or concerns.