This means your return is ready to be printed and mailed in. It sounds like you didn't actually complete the e-file process if that's what it says. If you did complete the e-file process you would've gotten an email from the IRS stating whether your e-file was accepted or rejected within 24-48 hours after efiling.

so what do we do after it says its printed? Im not prompted to do anything after

If you chose to e-file, and went all the way through the e-file procedure, then you will get a confirmation (accepted or rejected) via e-mail. You simply print your return for your records (and also save a copy of your .tax2018 file and PDF).

If you chose to print and mail your return then, after you go all the way through that procedure, the program will note that your return is "Printed and ready to mail". Subsequently, you simply mail your return to the IRS (and state, if required).

An instruction sheet should have been printed regardless of which procedure you followed.