A paramedic digitally raped a drug-affected young woman in the back of an ambulance then asked as she was lying on a hospital bed if they could catch up later, a court has heard.

Simon Paul Howe, 33, was one of two paramedics who attended to the woman in Little Collins Street after she was escorted out of the Bubble nightclub by staff.

He is standing trial in the County Court after pleading not guilty to digital rape and indecent assault alleged to have taken place in the ambulance on the way to the Royal Melbourne Hospital about 6am on November 5, 2006.