I'd use an IDENTITY field as the primary key to provide the uniquely incrementing ID for each queued item, and stick a clustered index on it. This would represent the order in which the items were queued.
To keep the items in the queue table while you process them, you'd need a "status" field to indicate the current status of a particular item (e.g. 0=waiting, 1=being processed, 2=processed). This is needed to prevent an item be processed twice.
When processing items in the queue, you'd need to find the next item in the table NOT currently being processed. This would need to be in such a way so as to prevent multiple processes picking up the same item to process at the same time as demonstrated below. Note the table hints UPDLOCK and READPAST which you should be aware of when implementing queues.
e.g. within a sproc, something like this:
DECLARE @NextID INTEGER
BEGIN TRANSACTION
-- Find the next queued item that is waiting to be processed
SELECT TOP 1 @NextID = ID
FROM MyQueueTable WITH (UPDLOCK, READPAST)
WHERE StateField = 0
ORDER BY ID ASC
-- if we've found one, mark it as being processed
IF @NextId IS NOT NULL
UPDATE MyQueueTable SET Status = 1 WHERE ID = @NextId
COMMIT TRANSACTION
-- If we've got an item from the queue, return to whatever is going to process it
IF @NextId IS NOT NULL
SELECT * FROM MyQueueTable WHERE ID = @NextID
If processing an item fails, do you want to be able to try it again later? If so, you'll need to either reset the status back to 0 or something. That will require more thought.
Alternatively, don't use a database table as a queue, but something like MSMQ - just thought I'd throw that in the mix!