A West London hospital nurse who threatened to behead a colleague with an axe after she was sacked was kicked out of the profession this week.
Althea Morrison, 35, was fired from the West London Mental Health Trust in Southall in June 2004 after going on long-term sick leave.
Morrison returned to the human resources department in July the following year and laughed manically as she confronted staff.
She threatened to cut off a boss's head with an axe, the Nursing and Midwifery Council heard on Tuesday, when Morrison was found guilty of misconduct and removed from the nursing register.
The panel heard how Morrison first lost her temper and began to shout and swear the receptionist when she was told she could not speak to anyone without an appointment.
Threatening to attack the HR boss, she said she would "cut her head off with an axe" and that her husband was "waiting to cut her head off".
Morrison called the receptionist a bitch before storming out.
Occupational therapist Jean Mockford, who witnessed the outburst, said: "I was waiting to be seen in the reception area when a lady came in through the door and headed straight for the reception table.
"She was quite demanding, speaking a bit quickly and getting a bit heated.
"There were a lot of swear words. She used the word bitch and said she was going to cut the woman's head off.
"She was out of control. She wasn't really engaging with the other person. It was quite quick, it was hard to know what to do.
"She then just turned around and walked straight to the door and laughed. It was quite a manic laugh.
"I had assumed it was a patient at the hospital. I was surprised it was a member of staff."
Human resources consultant Susan Loveday, who heard the shouting from an office next door said terrified staff "had a look of shock and horror on their faces."
Morrison, of Harrow, did not attend the hearing. She was found guilty of swearing at colleagues and threatening them.
Panel chair Jillian Alderwick said: "The panel finds that the behaviour, whilst over a short period of time, was so serious that had the police been called it could have resulted in charges of threats to kill.
"This is fundamentally incompatible with remaining on the register, it was a serious departure from the standards expected of a nurse, and confidence in the council would be undermined if the registrant is not struck off."