A foul-mouthed nurse called an elderly care home resident ‘disgusting’ and ‘f***ing vile’, a tribunal heard.

Nedyalka Kostadinova allegedly shook the woman and said ‘I f***ing can’t stand you’ during the outburst in Huddersfield, the Nursing and Midwifery Council was told.

The nurse is also said to have picked up excrement and held it up to the resident’s face with the words: ‘Look, you’re disgusting.’

During the same shift at Abbey Place Care Home in Fartown on May 26, 2012, she failed to call a GP when told that another elderly resident was dying, it is claimed.

Colleague Bernard Quashie said that he repeatedly told Kostadinova about the woman’s deteriorating condition.

“When I walked into her room and saw Resident B I could see that she was dying as I have seen this before.

“She was displaying all the tell-tale signs: her breathing was slow, her eyes were hazy, she was motionless and seemed to be in a world of her own.

“I have seen lots of people cross over and die, so I can tell when somebody is passing away.

“I then told Nellie that Resident B was dying but she said “No, don’t say that.” This was repeated a few times.

“She didn’t accept this and still wanted the resident put into the chair.

“As we did this the resident didn’t resist, she just seemed to be in a world of her own as we made her comfortable.

“I left the room and I’m not sure whether Nellie called for a doctor. I then saw Resident B two to three hours later and found her in the same state.

“I still considered her to be dying and I didn’t see her again before the end of my shift - nor did Nellie ask at any point about the Resident B’s condition.’

When Resident B died the next day, Mr Quashie made a complaint.

Michael Commons, the care home manager at the time, conducted an investigation into the allegations relating to both residents.

He said that the nurse should have called a GP even though there was an agreement that Resident B was to be allowed to die in peace.

“Nellie should have called a GP but she didn’t. This is of particular concern especially since two nurses informed her that Resident B’s condition was deteriorating.

“There’s nothing to suggest that Nellie contributed to the death of the patient, however, I do believe she should have taken more appropriate action.’

Kostadinova admits one count of having observed a low blood pressure on Resident B.

She denies a count of being informed of Resident B’s deteriorating condition and failing to take adequate steps.

Kostadinova denies holding up faeces to another resident’s face on the same day and using inappropriate language.

If her fitness to practise is found to be impaired she could be struck off.

The hearing continues.