The Ayita beaded medical bracelet is simple and elegant. The refined turquoise beads are accented with equally delicate gold-tone beads. Simple enough for day yet elegant enough for the evening! All N-Style ID beaded medical bracelets should be removed before showering or water activities and are not recommended for everyday wear. For everyday wear, we recommend switching the beaded bracelet to the discounted stainless steel chain bracelet or one of our other stainless steel chain bracelets Charms pictured are sold separately and will come attached to the women's gold ID bracelet.