The Navajo silver beaded medical bracelet is a turquoise lovers dream. Simple yet sophisticated. The sterling silver accent tube bead is surrounded by blue/green turquoise chip beads which are stabilized to enhance lustre and improve hardness. 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 ladies sterling silver medical alert bracelet.