This is a custom made "Nurse Life" Badge Reel. They come in a variety of seed beads, this one is red seed beads. The badge reel as a slip on metal clasp, and retractable nylon rope. Beads come in the following colors:
Beads on Reel are as follows:
20 mm Polka Dot in red
rhintestone spacer bead
20 mm White Rhinestone
rhinestone spacer bead
20 mm black and white speckled print