The image features a black and white illustration with a playful and informative design. At the center, there's a large syringe with a plunger, symbolizing the medical profession. Above the syringe, the phrase "NURSES CALL THE SHOTS" is written in a stylized font, suggesting a humorous take on the role of nurses in administering vaccines. The phrase is a play on the well-known phrase "doctors call the shots," which is often used to describe the authority of a medical professional. The overall design is simple yet effective, using the syringe as a visual metaphor for the medical field.