This is a gnome done up like a proper nurse, and its one of those designs that people just smile at the second they see it. The hat is that classic tall floppy gnome hat except it has a red cross badge stitched right on the front, and the coat is a full teal colour from collar to hem with these lil red dot buttons running down the centre. Long dark braids hang out either side of the hat brim, which is honestly what makes it look so gnome-y and not just generic.
Punched the file via Wilcom, and the colour sequencing across those 10 shades runs teal base, white coat lining, tan skin, teal hat fill, black outline, dark red cross detail, green clipboard body, navy blue base fill, mid-blue accent, and a final red for the small heart-rate line on the clipboard. Thats 10 colour stops in the right order so your machine isnt jumping threads unnecessarily. The gnome body uses dense satin columns for the hat and coat sections, directional fill for the braids, and a fine underlay run under the skin tones to stop the knit from poking through.
And because this has alot of small detail elements, the syringe and clipboard benefit from a light cutaway stabiliser on stretchy fabrics. On a stable cotton or canvas you can get away with medium-weight tearaway. The largest size runs to 6.23 inches wide by 7.5 inches tall at 46,670 stitches, so hoop accordingly. Use a 75/11 needle on quilting cotton, or bump to a 90/14 if youre going into denim or thick fleece.
One customer ordered the 4-inch size on a navy blue scrub top for their kids birthday and said it came out way better than they expected at that scale. The ECG squiggle on the clipboard was still clean and readable. Best results Ive seen are on light grey and white fabric where the teal really pops against the background. Pop it on a tote, an apron pocket, or a small hoop gift for a nurse or doctor you know.
Stitch it on anything from a badge reel lanyard to a full tote bag and it holds up well across all 5 sizes. Add a light topping on fleece to keep the loops from sinking into the pile.
What people are using this design for
A starting point. The design works for plenty more than just this list, this is what folks have stitched it onto most.
- Scrub top or nursing uniform pocketStitch the 3-inch size directly onto the left chest pocket of a scrub top using medium tearaway stabiliser on the cotton twill
- Gift tote for a nurse or doctorThe 5-in run fills a tote bag front panel well and looks great on natural canvas or dark teal fabric
- Kids birthday shirt for a medical-themed partyThe 4-inch size on a plain white tee works for kids birthday parties with a medical or doctor play theme
- Badge reel lanyard or ID holderThe smallest 2.91-inch build drops onto a lanyard panel cleanly when hooped with a sticky-back stabiliser
- Apron pocket for a hospital fundraiser bake saleIron-on transfer is not needed here since the file is already digitised for direct machine embroidery on apron fabric
- Canvas pouch for medical staff appreciation weekUse a small 4x4 hoop and the 3-inch size on zippered canvas pouches for a nurse appreciation gift set
- Framed hoop gift for a healthcare graduateStitch onto natural linen and frame in a 6-inch hoop for a handmade graduation gift for nursing or medical school
Dimensions
5 sizes included. Stitch counts shown for the largest colorway.
| Size (in) | Stitches |
|---|---|
| 2.91 × 3.50 in | 16,961 |
| 3.73 × 4.50 in | 23,197 |
| 4.56 × 5.50 in | 30,260 |
| 5.40 × 6.50 in | 38,056 |
| 6.23 × 7.50 in | 46,670 |
Files & Formats
Eight machine formats included in one zip. Whichever your machine reads, its in the pack.








Plus a color chart for thread matching. See full format guide.
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About the artist
Reyazul Masud Riham, hand-drawing every design on this site
Every design on Re Embroidery is hand-digitized by one person. Each file gets sketched, color-matched, and stitch-tested on real fabric before it earns a place in the shop. No team. No auto-conversion from images. Just slow, deliberate work, sometimes three or four days per design.
That's the joy I work for.
The hard part is finding my designs re-uploaded and resold elsewhere. So when you buy from Re Embroidery, you're paying one real person for the file you're about to download. That matters.










