Single strand silver necklace made with thinner textured dark silver cable chain, a super cute nurse hat & open heart charm, a 7mm round Caribbean blue crystal rhinestone in silver casing dangle charm and is finished with a lobster claw clasp. Great way to show your love and appreciation to the most valuable, essential worker nurse! Please choose the length from below: 14 inches 16 inches 18 inches 20 inches 22 inches All materials are silver plated, nickel free and lead free.