Mark Small allegedly posted a comment on Facebook saying: “saved someone’s life and managed to cop a feel of some cracking jubblies. Excellent shift.”
He faces a conduct hearing of the Health Professions Council (HPC) on Friday, and could be struck off from the profession if found guilty of misconduct.
Mr Small worked for Great Western Ambulance service, which provides emergency care and patient transport across Gloucestershire.
The HPC claim he posted the comments on Facebook between 28 and 29 June last year.
It also says the post amounted to misconduct, and his fitness to practise is now impaired.
The hearing will begin on Friday in London, and is scheduled to last for one day.
Great Western Ambulance Service said Mr Small was working for the Trust, but disciplinary action had been taken against him over the incident.
A spokesman said: “He is still working for us. It was dealt with using our internal disciplinary procedures.”
The service declined to comment further until after the hearing was concluded.
Mr Small, who lives in the Bristol area, could not be reached for comment.