Practice in the intensive care unit (ICU) has its particularity. The ability of nurses to provide services in ICU should be different from the regular units. Yet, very few studies describe clinical competencies of the ICU nurses. Purpose: To describe clinical competences of ICU nurses in a medical center and to confirm the clinical competences that they need to have as qualified ICU nurses. Method: This study modified the Delphi technique to clarify the competences of clinical nurses in an intensive care unit. A total of 10 critical care specialists from a medical center in central Taiwan were recruited. All experts had more than five years of clinical experience. This study examined the differences of the experts' views on clinical competencies of nurses in ICUs, and the data were examined using the descriptive analysis of modes, means, standard deviations and quarter deviations. Results: After two rounds of questionnaire survey, a total of seven levels and 67 items of clinical competence were obtained with the experts' consensus. Conclusions: The results of this study can be used as a reference for hospital in-service training, and provide the basis for nursing faculties at all levels in the design of emergency and critical care curriculum. Nurse managers may also use it as a reference to evaluate nurses' critical care competencies in their units.