Custom made pin for pinning ceremonies for an RN, NP, MA, LPN, LVN, BSN, SLP, DNP, PA, PTA, OTA, FNP, RT, PT, DPT, DNP, CNA, ADN, MD, and many many more! This beautiful shaped brooch/pin made with very unique design Hanging from the bottom is a VT caduceus charm and a birthstone charm with a disc hand stamped with the name of your choice. These pin it self is about 1 & 1/2 inch long but i did i hung charm on it so it will be about 2&1/2 inch after finished . Makes a great graduation gift for VT Nurse The brooch/pin is completely customize with your open Request ♥ If you don't see what you're looking for, please contact us. Custom orders are ALWAYS welcome ORDERING INSTRUCTIONS Click "Add to Cart". Use the Note to Sonudesings box to tell me: * Name * Birthstone(high quality and lot of sparkly Swarovski stone) Stamped on very shiny 22g Stainless Steel - AWESOME Silver Alternative!, For many years luxury watchmakers have appreciated that stainless steel is an excellent choice for producing quality jewelry. It is hypo allergenic, does not rust, change color or tarnish. And because it is so durable, items crafted with it can be treasured for a lifetime. Each piece is stamped by hand. This means that no 2 necklaces will be the same and initial qualities such as spacing, alignment, depth, and darkness will vary. This is not considered a flaw and only adds to the uniqueness of your handmade item. Take look at all my Hand stamped, Personalized, handcrafted Jewelry at https://www.etsy.com/shop/sonudesigns?ref=shopsection_shophome_leftnav All of our designs are handmade with care in Texas, USA. Nursing pinVT brooch pinvet tech-pinvet piningvet graduation pinvet tech grad giftsvet techvt jewelryVet Tech GraduateVet Tech Class PinsVET Graduation GiftVeterinarian PinVet Gift