If your going to do moderate sedation (old term conscious sedation) anywhere you should have the same basic supplies you would have available in the ICU.
4. Oral/Nasal airways
5. A reliable way to automatically take BP (every min if needed), continuous pulse ox/EKG, and preferably end tidal CO2 monitor.
6. Up to date crash cart with everything you need for a code.
7. Designated code plan (such as how do get the patient to the nearest ER/how are the EMTs going to easily get to you, if you can't ventilate the patient with a BVM who attempts to intubate the patient)
8. You also need to have an established protocol to determine which patients are too sick/unqualified to have outpatient sedation done by nonanesthesia providers (such as ASA 3-4pts, patients over a certain BMI, patients with moderate to severe OSA, chronic pain patients on high dose narcotics etc).
I personally don't have anything against RNs administering low dose propofol, but this subject is highly controversial and only about 20+ odd states allow RNs to administer propofol/fospropofol along with few other drugs like ketamine for sedation purposes. Fospropofol is a new drug and carries the same anesthesia only labeling as propofol just so you don't get tricked into using one over the other.
Just a personal pet peeve of mine and please don't take offense: MAC is a billing term that anesthesia uses to describe sedation when it is administered by an anesthesia provider. When you administer moderate sedation you should know that there are 4 levels of sedation: Minimal, Moderate, Deep and General anesthesia. As an RN in the outpatient setting with a nonsecured airway you should try to stay within minimal to moderate sedation realm, and know what to do if it goes beyond that level.
Here is website that I have found that is at least worth a look through if you are considering outpatient sedation. SedationFacts.org: Moderate Sedation (Conscious Sedation) Information