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A violent yob physically attacked nurses and spat at cops in Paisley’s A&E department .

Sozzled Beth Leitch, 21, was so intoxicated she had wet herself when she was brought into casualty at the Royal Alexandra Hospital.

She had been taken in amid fears for her health and due to her vulnerable condition.

Paisley Sheriff Court heard yesterday that sales assistant Leitch sparked mayhem when she refused treatment from two nurses.

Fiscal depute Margaret McCallum told the court Leitch punched and slapped nurses as well as mouthing a torrent of abuse, forcing medics to withdraw from the treatment room for their own safety.

The fiscal said: “Medical staff were working at the A&E department at the Royal Alexandra Hospital.

“They went to check on the accused, who was a patient.

“She had been brought into the hospital by paramedics for being drunk. She had wet herself.

“Two nurses started to assess the accused and they were required to remove her trousers so that she could be examined by a doctor.

“They started to remove the accused’s jeans and while doing that she lashed out, slapping both witnesses on the arms as they were at either side of her.

“She slapped and punched both witnesses.

“One nurse was left with marks on the forearm. The accused was shouting ‘f**k off,’ ‘get to f***,’ and ‘leave me alone.’

“The witnesses left the treatment to inform a senior nurse, who informed police.”

When cops arrived and went to speak to Leitch, she immediately kicked off at them and started “spitting in the air” in their direction.

The out-of-control patient – who had been kicking out – had to be fitted with leg restraints in order for a medic to examine her.

The doctor assessed her as being under the influence of alcohol.

She was arrested and had to be carried out of the hospital by three officers, who took her into custody.

The court was told Leitch even continued her abuse and threats while at Greenock Police Station , where she made further threats of violence to officers, including ramming her feet “right down your throats.”

Yesterday, Leitch of Neilston Road, in Paisley, pleaded guilty to charges of assaulting, obstructing and hindering A&E nurses and repeatedly striking and punching them on the body on June 30 last year.

She also admitted behaving in a threatening and abusive manner likely to cause a reasonable person to suffer fear and alarm in that she repeatedly shouted, swore, acted in an aggressive manner, spat in the direction of police and uttered threats of violence.

Defence agent Waqqas Ashraf confirmed that first offender Leitch was pleading guilty to the charges, but he reserved his defence submission until disposal of the case.

Sheriff Colin Pettigrew warned the accused: “I understand you have no previous convictions.

“But I will not countenance that behaviour at the hospital.

“Staff are there to assist you. They are not there to be assaulted. Not least, the abuse continued and I will not countenance spitting at police.

“For that reason I have to consider all disposals that are open to the court.”

He adjourned sentencing Leitch for the court to obtain background reports.

Leitch will learn of her fate when she returns on May 11.