A Utah police officer who was caught on video roughly handcuffing and "dragging" a nurse out of hospital because she refused to allow a blood draw from an unconscious patient has been fired.

Key points: Jeff Payne is fired after it is found his conduct was "inappropriate, unreasonable, unwarranted … [and] disrespectful"

Jeff Payne is fired after it is found his conduct was "inappropriate, unreasonable, unwarranted … [and] disrespectful" His lawyer says he will appeal the "unfair and over-the-top" decision

His lawyer says he will appeal the "unfair and over-the-top" decision Alex Wubbels, the nurse at the centre of the case, says she is pleased by the decision

Salt Lake City Police Chief Mike Brown made the decision to fire Detective Jeff Payne after an internal investigation found he violated department policies when he arrested nurse Alex Wubbels and dragged her screaming from the hospital, department spokesman Sergeant Brandon Shearer said.

Mr Brown said in a disciplinary letter that he was "deeply troubled" by Mr Payne's conduct, which he described as "inappropriate, unreasonable, unwarranted, discourteous, disrespectful" and said brought "significant disrepute" on the department.

"You demonstrated extremely poor professional judgment [especially for an officer with 27 years of experience], which calls into question your ability to effectively serve the public and the department," Chief Brown wrote.

Attorney Greg Skordas, who represents Mr Payne, said his client plans to appeal a firing he considers unfair and over the top.

Mr Skordas said Mr Payne would still be employed if the body camera footage had not generated so much attention and blown the events out of proportion.

Detective Jeff Payne was also fired from his part-time job as a paramedic in September. ( AP: Salt Lake City Police )

Mr Payne's supervisor, Lieutenant James Tracy, was demoted to officer.

His lawyer, Ed Brass, could not immediately be reached by the Associated Press.

Mr Tracy made an impulsive decision in ordering Mr Payne to arrest Ms Wubbels without first taking time to understand the facts of the situation and the law, Chief Brown wrote in his disciplinary letter.

He said the order created chaos and unnecessarily escalated the situation.

"Your lack of judgment and leadership in this matter is unacceptable, and as a result, I no longer believe that you can retain a leadership position in the department," Chief Brown said.

The letter said Ms Wubbels told investigators that Mr Tracy minimised her concerns, intimidated and lectured her, and made her feel like she was to blame for the events.

The Associated Press obtained the disciplinary letters for Mr Payne and Mr Tracy through a public records request.

Nurse grateful for bodycam footage

Alex Wubbels said she acted as any good nurse would, following her training and protocols. ( AP: Rick Bowmer )

Ms Wubbels' attorney, Karra Porter, said they are pleased that Chief Brown took action and recognised that the officers made crucial mistakes that have eroded public trust.

Ms Porter said she hopes the events are a catalyst to more public conversations about appropriate police behaviour.

The case shows the vital importance of officers wearing body cameras and making those videos available to the public, Ms Porter said.

"Without the body camera footage, it would have been a she-said, they-said," Ms Porter said.

"Alex feels very strongly that her story would have never been told if it weren't for the body camera footage."

Asked about a potential lawsuit, Ms Porter said she expects to meet soon with city officials to discuss next steps that could include settlement talks.

The officers have five business days to appeal the decisions by the chief.

Flashpoint in US conversation about use of force

The case received widespread attention after police body camera video was released by Ms Wubbels and her lawyer in late August.

The video showed her explaining that hospital policy required a warrant or formal consent to draw blood from the patient, who had been injured in a car crash.

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The patient was not suspected of wrongdoing. He was an off-duty reserve Idaho police officer driving a semi-trailer when he was hit by a man fleeing police in a utility vehicle.

Mr Payne nevertheless insisted on the blood draw, saying the evidence would protect the man.

Mr Payne told Ms Wubbels his supervisor said he should arrest her if she did not allow the draw.

Ms Wubbels was later freed from the handcuffs and has not been charged.

Both officers were investigated and placed on paid administrative leave after the video became public.

Salt Lake City police apologised and changed their policies.

Nurse Alex Wubbels is escorted out of the hospital by Detective Jeff Payne. ( AP: Salt Lake City Police Department/Karra Porter )

Prosecutors, meanwhile, opened a criminal investigation into the arrest and asked the FBI to determine if there were any civil rights violations.

Mr Payne was also fired from a part-time job as a paramedic after he was caught on camera saying he would take transient patients to the University of Utah hospital where Ms Wubbels worked and transport "good patients" elsewhere.

Mr Payne had previously been disciplined in 2013 after internal affairs investigators confirmed he sexually harassed a female co-worker in a "persistent and severe" way.

His tenure also brought commendations for solving burglary cases and being shot in the shoulder during a traffic stop in 1998.

Mr Tracy, meanwhile, earned commendations for drug and burglary investigations.

AP