Being by stretching your elastic to make it easier to work with.
Begin your pattern (always alternate your gemstones)
Gemstone / bead cap / bicone / rondell / bicone / bead cap / gemstone / silver round / gemstone / silver round.
Repeat to your last gemstone bead.
Add your multi-cut sterling silver bead, create your knot, trim excess cord, and hide the knot under your multi-cut bead.