1. Wrap ribbon around a red panel.
2. Adhere panel to a slightly larger white panel.
3. Stamp Nurse Kiddo image on a white panel with black ink and color with markers.
4. Adhere image panel to card.
5. Randomly sprinkle shabby white embossing enamel across the bottom of the panels.
6. Sprinkle a few fragments on the embossing enamel and then heat from the bottom of the panel until it all melts together.
7. Install a hat brad on each side of the image panel.
8. Adhere panels to a Top folding 5 1/2" x 4 1/4" red card.