Nurses Sterling Silver Bell Pendant or Charm, with Caduceus bail and Stethoscope is clapper. Included with story card that reads, ” Blessed are the nurses for they help us heal through love and care. Always willing to comfort and share. Helping to ease every problem and care. You’re more than a nurse, your’re a blessing!”. Sure to be a keepsake for years to come. Made in the USA. Chains available.