Lady Jayne Note Pads are printed with beautiful designs so you can keep these pads out all the time, on the top of your desk, on the counter, and next to the phone. Spiral Trust Me I'm A Nurse Foil- 4 1/2"x 3" spiral bound printed pad with heavy chip board cover and elastic band closure. Cover design features a rose gold accent stethoscope next to the caption: trust me I'm a nurse on a light blue background with white polka dots. Pink elastic band keeps pages secure by wrapping around the outside cover. Spiral binding is rose gold. Printed pages are light blue with slightly darker polka dots.