Nursing school clinical rotations do seem like a horribly mismanaged affair. To me, it would make more sense to complete all of the didactic and laboratory components and then move on to a clinical rotation at the end of the semester (say, the last two to three weeks). By doing that, you'd be able to integrate everything you covered in that semester, assuming the patient load allowed for it, and you wouldn't be skipping back and forth between "Yeah, we covered that, but we didn't cover this. I don't know what that guy's disease/medicine/intervention is." I think it's stupid.
I also think the last semester of the program should have a more intern-oriented clinical whereby you show up, do the job, and leave under the guidance of a staff nurse. Stepping into the clinical environment periodically doesn't allow you the probability of encountering a patient that's going to require a lot of interventions. However, being there everyday for a prolonged period does. I say this not even liking clinicals. I'm all about the cognitive process and deciding what to do. I couldn't care less about the hands on part. There isn't one technical "skill" or procedure that I have any eagerness to engage in simply because I'm not a hands on kind of guy. I'd rather stand in the corner, make a decision, and have someone else do it, but I still think nursing school would enjoy marked improvement by following my model.