A Stafford Hospital carer pulled a dementia patient around by his pyjamas with his genitals exposed and said he was "like an animal", a tribunal heard.
Bonka Kostova pushed the 73-year-old man into the bathroom and on to the toilet before shouting at him, the Nursing and Midwifery Council heard.
Her colleague said Ms Kostova shouted that she "hated" the patient.
A report into failings at the hospital found "appalling and unnecessary suffering" of hundreds of patients.
The man had been in the hospital for just over a month having treatment for kidney stones when the incident happened just after 03:00 BST on 22 July 2010, the tribunal heard.
'Losing it'The patient could become aggressive and needed a one-to-one carer, sometimes with the assistance of a second nurse.
On the night of the incident, the second carer went for a break, leaving healthcare assistant Ms Kostova in charge.
Jane Wilkinson, a staff nurse, said she witnessed the incident.
She said Ms Kostova described the patient as being "like an animal".
She said: "I have been a nurse for a long time and I have never witnessed anybody saying anything like that at all and she did appear to be almost losing it really."
Mrs Wilkinson said Ms Kostova was hard-working and could sometimes be abrupt with other members of staff, but that it was to do with her Bulgarian accent and demeanour.
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