I was curious how people felt about getting a first job in hospice. The job market is miserable and though I'd love to work in primary care, without moving and a lot of effort those jobs are near impossible in my area. I may have to opportunity to work hospice doing admissions as an NP which I would enjoy, but I'm worried it might limit future employment opportunities because it's hospice. Is that a valid concern?

That's a tough job for a novice NP unless you want it to be your future specialty. In my opinion.

I say hold out for something more closely aligned with primary care if you're still able to pay the bills with your job now..

My first position was in palliative care and hospice. I actually think that inpatient palliative care was a great transition from student to actual practice. The discussions involved in palliative care take a great deal of medical knowledge, and having time to review charts, speak one-on-one with specialists, and working with a great collaborating MD served me well as a new NP. I have also been working a part time position in primary care which keeps me current and marketable.

I'd say go for it.