American Heroes Polished 14k White Gold Caduceus RN Charm Registered Nurse Pendant nursing occupational acronym RN in block initial letters with the caduceus medical alert symbol as backdrop finely crafted necklace pendant or bracelet charm in genuine 14 karat white gold in high polish (1.10 grams) comes with free special gift packaging made in the USA yet offered at factory direct jewelry price ships within 24 hours from the manufacturer directly to the customers You can return this item for any reason and get a full refund: no shipping charges. The item must be returned in new and unused condition. Go to Your Orders to start the return Print the return shipping label Ship it! All our diamond suppliers confirm that they comply with the Kimberley Process to ensure that their diamonds are conflict free.