Made specially for the Licensed Vocational Nurse, most commonly used in Texas and California. The pin is a Caduceus (Pronounce as: "Ca-DUCE-us" ) inside Filigreed Heart Emblem Pin 1" inside filigreed design goldtone heart shape with the letters LVN in Red. A lovely design that is very popular with LVN's. Features a Safetypin backing.